MRS. KATELYN ELIZABETH VISCUSO M.ED., LPC
NPI 1720821465
Counselor - Professional in Saint Louis, MO

Active since June 18, 2024PECOS Enrolled
12818 TESSON FERRY RD STE 103, SAINT LOUIS, MO 63128(314) 912-4655 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Katelyn Elizabeth Viscuso M.ed., Lpc NPPES

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

MRS. KATELYN ELIZABETH VISCUSO M.ED., LPC (NPI 1720821465) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2022028902) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720821465
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KATELYN ELIZABETH VISCUSOCredential: M.ED., LPC
Location Address12818 TESSON FERRY RD STE 103Saint Louis, MO 63128-2945
Mailing Address10436 Bimini DrSaint Louis, MO 63123-5922 · (314) 288-5652
Sole ProprietorNo
Enumeration DateJune 18, 2024
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1720821465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2022028902
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2022028902 (MO)
12818 TESSON FERRY RD STE 103, Saint Louis, MO 63128

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katelyn Elizabeth Viscuso M.ed., Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Viscuso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
11144 TESSON FERRY RD STE 101
Saint Louis, MO 63123
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
Counselor (Mental Health)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
Psychologist
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
Social Worker (Clinical)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
Counselor (Mental Health)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Viscuso's NPI number?

The NPI number for Katelyn Viscuso is 1720821465. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Katelyn Viscuso located?

Katelyn Viscuso practices at 12818 Tesson Ferry Rd Ste 103, Saint Louis, MO 63128. The listed phone number is (314) 912-4655.

What is Katelyn Viscuso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katelyn Viscuso enrolled in Medicare?

Yes. Katelyn Viscuso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Viscuso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Viscuso reassigns Medicare benefits to Shanon Harlow, LLC (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Viscuso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Viscuso accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Katelyn Viscuso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Viscuso was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.