IndividualActive
Marissa Kistner, M.ED., PLPC
NPI 1750007399 · Counselor · Lake St Louis, MO
Provider details
- NPI number
- 1750007399
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- M.ED., PLPC
- Sex
- Female
- Sole proprietor
- No
- License
- 2022040479 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Edgewater PT Ste 401-405
Lake St Louis, MO 63367-2954
Phone: (636) 442-2612
Street-level locationGet directions
Mailing address
919 Mohican Dr
Warrenton, MO 63383-7371
Additional practice locations (1)
- 632 E Highway NWentzville, MO 63385-5907Phone: (636) 639-9887
Registry dates
- Enumerated
- 2022-10-17
- Last updated
- 2022-10-17
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.