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

Individual provider Mental Health Counselor · NPI 1598169120

Vivian Carr, LPC is a Mental Health Counselor in O Fallon, Missouri. Qualified in 2005, 21 years ago. Practices with Nystrom Counseling Mo PC, a 16-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

801 S Woodlawn Ave Ste 16
O Fallon, MO 63366-7647
Phone: (636) 379-1779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2011001822 (MO)

Record details

NPI number1598169120
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 10, 2014
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Nystrom Counseling Mo Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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