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

Mary Melissa Fasoldt, LPC

Individual provider Professional Counselor · NPI 1336941863

Mary Melissa Fasoldt, LPC is a Professional Counselor in Kirkwood, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

404 S Clay Ave Ste 204
Kirkwood, MO 63122-5888
Phone: (314) 467-8162
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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 2025008024 (MO)

Record details

NPI number1336941863
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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