MRS. MIRIAM AYALA SECO (NPI# 1134629439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134629439 |
| Entity Type | Individual |
| Full Name | MRS. MIRIAM AYALA SECO |
| Credential | MA PSYCHOLOGY |
| Practice Address |
614 South Ave Springfield MO 65806-3110 |
| Mailing Address |
939 N Prospect Ave Springfield MO 65802-3540 |
| Practice Telephone | 4178699011 |
| Mailing Telephone | 4173551642 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2016035423 | MO | Behavioral Health & Social Service Providers |
| Street Address |
614 SOUTH AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164517934 | Ozark Counseling Center | Counselor | 614 South Ave, Springfield, MO 65806-3110 | 2006-10-04 |
| 1063970283 | Madison Brawley | Counselor | 614 South Ave, Springfield, MO 65806-3110 | 2019-03-06 |
| 1245796440 | Joshua Edward Freeman | Social Worker | 614 South Ave, Springfield, MO 65806-3110 | 2019-02-13 |
| 1972090470 | Sarah Fry | Counselor | 614 South Ave, Springfield, MO 65806-3110 | 2018-04-19 |
| 1538684527 | Darryl J Schafer | Counselor | 614 South Ave, Springfield, MO 65806-3110 | 2017-08-10 |
| 1699202424 | Danielle Joyce | Counselor | 614 South Ave, Springfield, MO 65806-3110 | 2017-05-11 |
| 1730537671 | Erica Marie Boan | Counselor | 614 South Ave, Springfield, MO 65806-3110 | 2016-06-01 |
| 1861850505 | Douglas Greiner | Psychologist | 614 South Ave, Springfield, MO 65806-3110 | 2016-02-09 |
| 1750754966 | Amanda Allen | Counselor | 614 South Ave, Springfield, MO 65806-3110 | 2015-11-10 |
| 1609247121 | Theresa Bettmann | Social Worker | 614 South Ave, Springfield, MO 65806-3110 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1205443462 | India Iasia Kyles | Counselor | 82 Tilton St, Springfield, MA 01109-2332 | 2020-09-30 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1568098952 | Jennifer Corsi | Counselor | 130 Maple St Ste 201, Springfield, MA 01103-2214 | 2020-03-17 |
| 1245865500 | Annette Lynn Brandenburg | Counselor | 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 | 2020-03-06 |
| 1962045443 | Emilie Noel Phillips | Counselor | 3826 E Lomita St, Springfield, MO 65809-3710 | 2019-10-28 |
| 1265082234 | Sierra Jane Forney | Counselor | 98 Garnet St, Springfield, MA 01129-1908 | 2019-09-12 |
| 1700438678 | Julie Ann Blythe | Counselor | 620 N Walnut St, Springfield, IL 62702-4930 | 2019-07-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
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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.