Healthcare Provider Details

I. General information

NPI: 1124791843
Provider Name (Legal Business Name): KRISTIN M OPARAJI MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTIN M WILMES

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3879 CAMBRIDGE CROSSING DR
SAINT CHARLES MO
63304-5007
US

IV. Provider business mailing address

3879 CAMBRIDGE CROSSING DR
SAINT CHARLES MO
63304-5007
US

V. Phone/Fax

Practice location:
  • Phone: 314-479-1542
  • Fax:
Mailing address:
  • Phone: 314-479-1542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1012025391
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: