MR. DANIEL STEPHEN TEATER LPC, M.DIV, MAC
NPI 1992263248
Counselor in Saint Louis, MO

Q: What is Daniel Teater's NPI number?

The NPI number for Daniel Teater is 1992263248. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Q: What is Daniel Teater's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Daniel Teater enrolled in Medicare?

No. Daniel Teater has opted out of Medicare through December 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Daniel Teater was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 06, 2019Opted out of Medicare · through Dec 11, 2027

11780 BORMAN DR, SAINT LOUIS, MO 63146(314) 479-9028(866) 387-2869 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Daniel Stephen Teater Lpc, M.div, Mac NPPES

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

MR. DANIEL STEPHEN TEATER LPC, M.DIV, MAC (NPI 1992263248) is an individual counselor in Saint Louis, Missouri, licensed in Missouri (2012029760) and active in the NPI registry since March 2019. He has opted out of Medicare through December 11, 2027.

NPPES Registry Identity

NPI1992263248

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. DANIEL STEPHEN TEATERCredential: LPC, M.DIV, MAC

Location Address11780 BORMAN DRSaint Louis, MO 63146-4135

Mailing Address5947 Waterman BlvdSaint Louis, MO 63112-1517 · (314) 518-1616

Phone(314) 479-9028

Fax(866) 387-2869

Sole ProprietorNo

Enumeration DateMarch 6, 2019

✔ NPI 1992263248 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 · 2012029760

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.

11780 BORMAN DR, Saint Louis, MO 63146

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Daniel Stephen Teater Lpc, M.div, Mac 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 December 11, 2025 through December 11, 2027.

Opt-Out Effective DateDecember 11, 2025

Opt-Out In Effect ThroughDecember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

JUDY DABLER

Counselor (Professional)