MR. KENNETH MARTIN DEBLOCK (NPI# 1336482215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336482215 |
| Entity Type | Individual |
| Full Name | MR. KENNETH MARTIN DEBLOCK |
| Credential | PLPC |
| Practice Address |
3205 N Twyman Rd Independence MO 64058-3211 |
| Practice Telephone | 8162495371 |
| Mailing Telephone | 8162495371 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2015-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2013008640 | MO | Behavioral Health & Social Service Providers |
| Street Address |
3205 N TWYMAN RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64058-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922337583 | Doulos Ministries, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2009-12-10 |
| 1548767122 | Melissa Ann Winston | Marriage & Family Therapist | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2018-04-10 |
| 1356852651 | Alexander Sebastian Cosio-santillan | Counselor | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2017-10-13 |
| 1760915755 | Tiffany Rensberger | Counselor | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2017-04-06 |
| 1215460217 | Kayla Nicole Belle | Counselor | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2017-04-06 |
| 1033642038 | Josiah David Johnson | Counselor | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2017-04-06 |
| 1558800573 | Chandon Leckron | Counselor | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2017-02-23 |
| 1336508852 | Janelle Deblock | Counselor | 3205 N Twyman Rd, Independence, MO 64058 | 2016-02-11 |
| 1972979730 | Sara Jackaway | Counselor | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2015-08-17 |
| 1578955480 | Julie Faddis | Counselor | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952777179 | Michelle Armilio | Speech-Language Pathologist | 2101 N. Twyman Road, Independence, MO 64058 | 2015-08-12 |
| 1912046079 | Jessica M Isaacson | Speech-Language Pathologist | 2101 N Twyman Rd, Independence, MO 64058 | 2007-02-05 |
| 1043873052 | Lee Harris Counseling LLC | Clinic/Center | 1404 N Cherokee St, Independence, MO 64058-1106 | 2019-04-16 |
| 1437488749 | Kevin Poul Wilson | Counselor | 1819 N Dover St, Independence, MO 64058-1231 | 2009-12-15 |
| 1316009244 | Cheryl Spurgeon | Speech-Language Pathologist | 1901 N Lazy Branch Rd, Independence, MO 64058-1241 | 2006-12-15 |
| 1699905810 | Katrina Joy Hall | Speech-Language Pathologist | 2106 N Ponca Dr, Independence, MO 64058-1251 | 2009-07-22 |
| 1538610068 | Tracie Janeann Krysa | Physical Therapy Assistant | 1917 N Colony Ln, Independence, MO 64058-1311 | 2016-10-19 |
| 1326460502 | Rita's Hearing Center and Repairs | Durable Medical Equipment & Medical Supplies | 1914 N Plymouth Rd, Independence, MO 64058-1321 | 2014-01-07 |
| 1922650399 | Rita Michelle Harman | Hearing Instrument Specialist | 1914 N Plymouth Rd, Independence, MO 64058-1321 | 2019-07-15 |
| 1275180259 | Victoria Patricia Larkin | Technician | 19110 E Park St, Independence, MO 64058-1371 | 2019-08-23 |
| Find all providers in zip 64058 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1679030308 | Mallory Krolikowski | Counselor | 6408 Hillside Rd, Independence, OH 44131-5336 | 2019-02-28 |
| 1730665894 | James Parker | Counselor | 4231 S Hocker Dr, Independence, MO 64055-4723 | 2018-07-12 |
| 1346776135 | Jackie Ransom, Lpc, LLC | Counselor | 10700 E Westport Rd, Independence, MO 64052-3470 | 2017-05-11 |
| 1083151666 | Michael E French | Counselor | 18610 E 37th Ter S, Independence, MO 64057-1707 | 2017-01-20 |
| 1427591353 | Clint Thomas LLC | Counselor | 18201 E 26th Street Ct S, Independence, MO 64057-2409 | 2016-11-25 |
| 1730622812 | Jared A Watson | Counselor | 2904 S Vista Ct, Independence, MO 64057-1937 | 2016-11-22 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1033593603 | Paul Francis | Counselor | 1805 N Blue Mills Rd, Independence, MO 64058-1703 | 2015-07-14 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64058 |
Please comment or provide details below to improve the information on MR. KENNETH MARTIN DEBLOCK.
| 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.