MS. KATHY ANN POELKER (NPI# 1114089406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114089406 |
| Entity Type | Individual |
| Full Name | MS. KATHY ANN POELKER |
| Credential | LPC |
| Practice Address |
1515 N Warson Ste 119 St Louis MO 63123-1108 |
| Mailing Address |
43 Millstone St Charles MO 63303-2914 |
| Practice Telephone | 3142808910 |
| Practice Fax Number | 6369390057 |
| Mailing Telephone | 3142808910 |
| Mailing Fax Number | 6369390057 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 000602 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1515 N WARSON STE 119 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63123-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1932283967 | Diane M Venker | Counselor | 1034 S. Brentwood Blvd, Suite 678, St Louis, MO 63117 | 2006-10-25 |
| 1780786178 | Jacqueline M Dew | Counselor | 11564 Herefordshire Drive, St Louis, MO 63138-3533 | 2006-09-05 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1841474889 | Patricia Carol Coughlin | Counselor | 13610 Barrett Office Dr., Suite 210, St Louis, MO 63021 | 2007-12-27 |
| 1356521769 | Julia Lee Reid | Counselor | 763 S New Ballas Road, Suite 340 Cross Roads Christian Counseling, St Louis, MO 63141-8787 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861644 | Barbara Schuver | Counselor | 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 | 2020-11-04 |
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1255946356 | Jessika Triplett | Counselor | 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 | 2020-09-15 |
| 1629689344 | Jennifer Walsh | Counselor | 5704 Rosa Ave, Saint Louis, MO 63109-3256 | 2020-08-14 |
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| 1952910408 | Tiffany Wingo | Counselor | 4143 California Ave, Saint Louis, MO 63118-4507 | 2020-07-29 |
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1093323990 | Agency A Wellness Center | Counselor | 305 Business Highway 61 N, Bowling Green, MO 63334-1301 | 2020-07-16 |
| 1386267227 | Paula Coyote Schaaf | Counselor | 1924 Van Brunt Blvd, Kansas City, MO 64127-2999 | 2020-05-27 |
| 1275156382 | Rebecca King | Counselor | 5407 Bagnall Dr, Jefferson City, MO 65109-0484 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.