NATHANIEL TYLER BRACK LPC
NPI 1427643840
Counselor in Saint Louis, MO

Active since March 08, 2021
10805 SUNSET OFFICE DR STE 210, SAINT LOUIS, MO 63127(314) 626-0962 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 28, 2021, Sep 20, 2021, Mar 8, 2021 (3 updates tracked since 2021).

About Nathaniel Tyler Brack Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL TYLER BRACK LPC (NPI 1427643840) is an individual counselor in Saint Louis, Missouri, licensed in Missouri (2019012771) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1427643840
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameNATHANIEL TYLER BRACKCredential: LPC
Location Address10805 SUNSET OFFICE DR STE 210Saint Louis, MO 63127-1026
Mailing Address10805 Sunset Office Dr Ste 201Saint Louis, MO 63127-1026 · (314) 626-0962
Sole ProprietorNo
Enumeration DateMarch 8, 2021
Last NPPES UpdateSeptember 28, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
NPI 1427643840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MO · 2019012771
Definition

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.

10805 SUNSET OFFICE DR STE 210, Saint Louis, MO 63127

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
10805 SUNSET OFFICE DR STE 210
SAINT LOUIS, MO 63127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427643840, enumerated as an "individual" on March 08, 2021.

The provider is located at 10805 SUNSET OFFICE DR STE 210 SAINT LOUIS, MO 63127 and the phone number is (314) 626-0962.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.