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JOSIAH STANTON MAC, LPC
NPI 1912643511
Counselor - Professional in Saint Louis, MO

Active since May 07, 2022Opted out of Medicare · through Apr 14, 2028
1023 EXECUTIVE PARKWAY DR STE 10, SAINT LOUIS, MO 63141(314) 469-5522(314) 469-5504 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2022, May 7, 2022 (2 updates tracked since 2022).

About Josiah Stanton Mac, Lpc NPPES

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

JOSIAH STANTON MAC, LPC (NPI 1912643511) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2019043836) and active in the NPI registry since May 2022. He has opted out of Medicare through April 14, 2028.

NPPES Registry Identity

NPI1912643511
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOSIAH STANTONCredential: MAC, LPC
Location Address1023 EXECUTIVE PARKWAY DR STE 10Saint Louis, MO 63141-6323
Mailing Address1023 Executive Parkway Dr Ste 10Saint Louis, MO 63141-6323 · (314) 469-5522 · Fax (314) 469-5504
Phone(314) 469-5522
Fax(314) 469-5504
Sole ProprietorNo
Enumeration DateMay 7, 2022
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1912643511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2019043836
1023 EXECUTIVE PARKWAY DR STE 10, Saint Louis, MO 63141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Josiah Stanton Mac, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 14, 2026 through April 14, 2028.

Opt-Out Effective DateApril 14, 2026
Opt-Out In Effect ThroughApril 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

DR. ROBERT JAMES GORDON PH.D.
Marriage & Family Therapist
1023 EXECUTIVE PARKWAY DR STE 10
CREVE COEUR, MO 63141
St. Louis County (314) 469-5522
LILIAN M WERNER MAC, LPC
Counselor
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 469-5522
JOEL CHAPPEAU MAC, LPC
Counselor (Professional)
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 469-5522
TRACIE WALLACE LPC
Counselor (Professional)
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 469-5522
CHAD RICHARD FRIZZELL LPC
Counselor (Professional)
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 469-5522
GINA MARIE BIRKEMEIER
Counselor (Professional)
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 469-5522
DR. JEREMY RUCKSTAETTER PHD, LPC, NCC
Counselor (Professional)
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 469-5522
SARA KAY COKER
Counselor (Mental Health)
1023 EXECUTIVE PARKWAY DR STE 10
SAINT LOUIS, MO 63141
St. Louis County (314) 469-5522

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 Josiah Stanton's NPI number?

The NPI number for Josiah Stanton is 1912643511. It was assigned to this individual provider in the NPPES registry on May 7, 2022.

Where is Josiah Stanton located?

Josiah Stanton practices at 1023 Executive Parkway Dr Ste 10, Saint Louis, MO 63141. The listed phone number is (314) 469-5522.

What is Josiah Stanton's specialty?

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

Is Josiah Stanton enrolled in Medicare?

No. Josiah Stanton has opted out of Medicare through April 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Josiah Stanton accept?

Health plans from Medica list Josiah Stanton 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 Josiah Stanton was last updated on May 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.