Healthcare Provider Details

I. General information

NPI: 1003083791
Provider Name (Legal Business Name): KRISTEL LEIGH MCNORTON-MABIE M.A., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEL MCNORTON LPC

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 01/18/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13612 BIG BEND RD
VALLEY PARK MO
63088-1447
US

IV. Provider business mailing address

PO BOX 323
BALLWIN MO
63022-0323
US

V. Phone/Fax

Practice location:
  • Phone: 314-578-2100
  • Fax: 636-333-4510
Mailing address:
  • Phone: 314-852-9991
  • Fax: 636-333-4510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2006009844
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: