MEDICARE: CHAD D CUNNINGHAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2007010482	MO
2	101YP2500X	Professional Counselor	CCMH019531	NM
3	101YP2500X	Professional Counselor	LPC20998	SD
4	101YP2500X	Professional Counselor	14251128-6004	UT

General Provider Information

NPI Number	:	1619165966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD D CUNNINGHAM

Provider Business Mailing Address
First Line	:	422 PARKGATE DR
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-4379
Country	:	US
Telephone Number	:	636-866-6246
Fax Number	:	877-443-1181

Provider Business Practice Location Address
First Line	:	11 BEAR FOUNTAIN CT
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-3519
Country	:	US
Telephone Number	:	636-866-6246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	03/10/2026

Similar Medicare Providers

1336003128 — MS. TARA MARIE CASALETTO MSN-FNP
Practice Location Address:

1520 WENTZVILLE PKWY
WENTZVILLE, MO
63385-3408

Practice Phone: 636-497-4060
Practice Fax:

1881184406 — KAREN MARIE WIETHUCHTER MA, LPC
Practice Location Address:

1032 CROSSWINDS CT
WENTZVILLE, MO
63385-4836

Practice Phone: 844-853-8937
Practice Fax:

1760337273 — DANIELLE KOCHNER LPC
Practice Location Address:

721 SWITCHGRASS DR
WENTZVILLE, MO
63385-2849

Practice Phone: 417-231-1993
Practice Fax:

1538014923 — CRYSTAL MARIE BOSCHERT
Practice Location Address:

1023 MAIN PLAZA DR
WENTZVILLE, MO
63385-1170

Practice Phone: 636-344-0448
Practice Fax:

1497517684 — MEGHAN PRINSTER OT
Practice Location Address:

1832 WENTZVILLE PKWY
WENTZVILLE, MO
63385-3817

Practice Phone: 636-327-7110
Practice Fax:

1467308239 — COOL'S CARE WITH HEART, HOME HEALTHCARE LLC
Practice Location Address:

321 ASPEN CREEK DR
WENTZVILLE, MO
63385-5579

Practice Phone: 636-378-4826
Practice Fax:

Directions to “ CHAD D CUNNINGHAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.