Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremy Ruckstaetter, PHD, LPC, NCC

Individual provider Professional Counselor · NPI 1851916043

Dr. Jeremy Ruckstaetter, PHD, LPC, NCC is a Professional Counselor in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

1023 Executive Parkway Dr Ste 10
Saint Louis, MO 63141-6323
Phone: (314) 469-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2011033777 (MO)

Record details

NPI number1851916043
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LPC , NCC
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

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