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SHANTI SOURCE COUNSELING LLC
NPI 1962031385
Social Worker - Clinical in Kirkwood, MO

Active since April 07, 2020
11042 MANCHESTER RD, KIRKWOOD, MO 63122(314) 202-6867 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shanti Source Counseling Llc NPPES

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

SHANTI SOURCE COUNSELING LLC (NPI 1962031385) is a healthcare organization registered as a clinical in Kirkwood, Missouri and active in the NPI registry since April 2020. The organization lists Cindy Haller, Owner, as its authorized official.

NPPES Registry Identity

NPI1962031385
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHANTI SOURCE COUNSELING LLC
Location Address11042 MANCHESTER RDKirkwood, MO 63122-1244
Mailing Address2183 Wide Oak CtChesterfield, MO 63017-7226 · (314) 541-1198
Phone(314) 202-6867
Organization SubpartNo
Authorized OfficialCindy HallerOwner · (314) 202-6867
Enumeration DateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1962031385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11042 MANCHESTER RD, Kirkwood, MO 63122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanti Source Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shanti Source Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cindy Haller, LCSW
Clinical Social Worker
NPI 1083074876
2183 WIDE OAK CT
Chesterfield, MO 63017
(314) 541-1198
✔ PECOS✔ Accepts Medicare8.9 mi

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

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 Shanti Source Counseling LLC's NPI number?

The NPI number for Shanti Source Counseling LLC is 1962031385. It was assigned to this organization in the NPPES registry on April 7, 2020.

Where is Shanti Source Counseling LLC located?

Shanti Source Counseling LLC is located at 11042 Manchester Rd, Kirkwood, MO 63122. The listed phone number is (314) 202-6867.

What is Shanti Source Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shanti Source Counseling LLC enrolled in Medicare?

Yes. Shanti Source Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shanti Source Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shanti Source Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shanti Source Counseling LLC 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 1 other insurer list Shanti Source Counseling LLC 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 Shanti Source Counseling LLC was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.