Healthcare Provider Details
I. General information
NPI: 1619134343
Provider Name (Legal Business Name): STEVEN C MAY MA, NCC, SMFT, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/20/2008
Last Update Date: 07/03/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5919 ANTIRE RD
HIGH RIDGE MO
63049-2131
US
IV. Provider business mailing address
7447 RURAL ROUTE 156
WATERLOO IL
62298-3854
US
V. Phone/Fax
- Phone: 314-347-8250
- Fax: 314-754-9468
- Phone: 314-347-8250
- Fax: 314-754-9468
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 2005006924 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 2005006924 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: