Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891906509 Individual Practitioner Female Practitioner

Ida Jane Grider , LPC

Counselor • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Ida Grider, LPC is a registered healthcare professional specializing in Counselor in Saint Louis, MO. Practice services are available at 12755 OLIVE BLVD STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12755 Olive Blvd Ste 115
Suite 115

Saint Louis, MO 631416242

Telephone 3148980100
Fax 3143716508

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
262 Specialists

Practicing in Saint Louis, MO (1111 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1043318116

Master of Social Work

Kristin Bulin , LCSW

Social Worker - Clinical

NPI 1093269938

Licensed Clinical Social Worker

Michelle Goldstein , MSW

Social Worker - Clinical

NPI 1255477527

Master of Social Work

NPI 1285482968

Licensed Master Social Worker

Emory Endicott , LCSW

Social Worker - Clinical

NPI 1376276774

Licensed Clinical Social Worker

Andrew Shapiro , PLPC

Counselor - Professional

NPI 1417693193

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12755 OLIVE BLVD STE 115, SUITE 115, SAINT LOUIS, MO 631416242 (Tel: 3148980100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4666 KELLYKRIS DR, SAINT CHARLES, MO 633043411 (Tel: 6369362466)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as IDA GRIDER, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #101Y00000X in MO)

🟢
Initial NPI Registration & Enumeration May 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891906509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4666 Kellykris Dr

Saint Charles, MO 633043411

Phone: 6369362466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.