MARCIE BURK (NPI# 1255739447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255739447 |
| Entity Type | Individual |
| Full Name | MARCIE BURK |
| Credential | LPC |
| Practice Address |
530 E 34th St Joplin MO 64804-3926 |
| Mailing Address |
201 W Walnut St Columbus KS 66725-1121 |
| Practice Telephone | 4173477630 |
| Mailing Telephone | 6204291860 |
| Mailing Fax Number | 6204291041 |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
2018028296 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2758 | KS | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 W Walnut St, Columbus, KS 667251121 | 6204291860 | 6204291041 |
| Street Address |
530 E 34TH ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891807285 | Jeffrey Shane Bradley | Psychiatry & Neurology | 530 E 34th St, Joplin, MO 64804-3926 | 2006-08-31 |
| 1922615269 | Sherry K Quackenbush | Social Worker | 530 E 34th St, Joplin, MO 64804-3926 | 2020-09-30 |
| 1902412174 | Kristen J Tanner | Social Worker | 530 E 34th St, Joplin, MO 64804-3926 | 2020-09-22 |
| 1093376832 | Kimberly Anne Hammonds | Nurse Practitioner | 530 E 34th St, Joplin, MO 64804-3926 | 2019-06-24 |
| 1255847463 | Justin Kyle Boudreaux | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2017-12-26 |
| 1649623562 | Heather Kay Wadeson | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2016-07-15 |
| 1073986576 | Sooin Lee | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-11-05 |
| 1104299098 | Megan Robertson | Marriage & Family Therapist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-11-02 |
| 1497144992 | Eve Lueker | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-01-21 |
| 1396080974 | James Townsend | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2012-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1932692647 | Kristine Shirley Gustafson | Counselor | 123 S Moffet Ave, Joplin, MO 64801-2618 | 2018-06-08 |
| 1265946131 | Virginia Hayes | Counselor | 705 W 26th St, Joplin, MO 64804-1904 | 2017-11-29 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1003279555 | Darla Wyatt | Counselor | 3405 S. Hammons Blvd., Joplin, MO 64804 | 2016-04-01 |
| 1104162775 | Andrea Dana Lee Phillips | Counselor | 707 Pearl Street, Suite B, Joplin, MO 64801-1241 | 2012-12-29 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1518219187 | Cynthia L Martin | Counselor | 4710 E 32nd St, Joplin, MO 64804-4411 | 2012-10-08 |
| 1528338415 | Phyllis Irene Cook | Counselor | 707 S Pearl Ave, Joplin, MO 64801-4334 | 2012-01-09 |
| 1578874160 | Melinda Annette Gibson | Counselor | 1840 N Range Line Rd Ste 6, Joplin, MO 64801-8322 | 2010-06-29 |
| Find all providers in JOPLIN | ||||
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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.