Shanti Source Counseling LLC
NPI 1962031385ActiveOrganization· Social Worker, Clinical· Kirkwood, MO
Social Worker, Clinical in Kirkwood, Missouri, registered in NPPES in April 2020. The authorized official on file is Cindy Haller, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962031385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2020 |
| Last updated in NPPES | Apr 7, 2020 |
| Certified by provider | Apr 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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