MRS. CAROL JO MACK (NPI# 1356566293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356566293 |
| Entity Type | Individual |
| Full Name | MRS. CAROL JO MACK |
| Credential | LCSW |
| Practice Address |
8631 Delmar Blvd Saint Louis MO 63124-1990 |
| Mailing Address |
2800 Elm St Saint Charles MO 63301-4618 |
| Practice Telephone | 3147875100 |
| Practice Fax Number | 3147542800 |
| Mailing Telephone | 3147875100 |
| Mailing Fax Number | 3147542800 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2003032210 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861929689 | Carol Mack | Counselor | 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 | 2017-05-11 |
| 1780971978 | Carol Annette Mack | Specialist | 725 Princess Ave, N Las Vegas, NV 89030-3822 | 2011-07-07 |
| 1063714566 | Carol Mack | Counselor | 454 N. Claude A. Lord Blvd., Pottsville, PA 17901-2706 | 2010-12-03 |
| 1053527846 | Carol Marie Mack | Prevention Professional | 3835 Claridge Oval, University Heights, OH 44118-4739 | 2007-05-16 |
| 1063412120 | Carol Bellomo Mack | Social Worker | Pcs, Inc., 1 Greystone Rd, Carlisle, PA 17013 | 2005-07-29 |
| 1023294774 | Carol Mack | Social Worker | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2008-01-11 |
| 1235207366 | Carol Jean Mack | Physician Assistant | 1850 M St Nw, Suite 450, Washington, DC 20036-5803 | 2006-11-30 |
| Street Address |
8631 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164447611 | Lisa A Ottolini | Case Management | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2006-07-13 |
| 1356697890 | Edgar W Hatcher | Counselor | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2012-08-02 |
| 1457613382 | Lisa Marie Brazil | Social Worker | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2012-06-15 |
| 1083918296 | Therese Jacques | Counselor | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2011-01-03 |
| 1386841955 | Paulette Marie Foerster | Counselor | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2007-06-28 |
| 1023183159 | Julie Diaz | Counselor | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2006-11-22 |
| 1588757686 | Lynn E Duffield | Counselor | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2006-10-02 |
| 1487679916 | Nancy M Miller | Case Management | 8631 Delmar Blvd, Saint Louis, MO 63124-1990 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1508475534 | Elizabeth (lisa) Pullen Will-smith | Counselor | 6649 Hoffman Ave, Saint Louis, MO 63139-2546 | 2020-07-27 |
| 1689297970 | Joy Montrice Camp | Counselor | 1126 N 16th St, Saint Louis, MO 63106-3736 | 2020-05-21 |
| 1568084622 | Amy Turk | Counselor | 701 Luckystone Ave, Saint Louis, MO 63122-3245 | 2020-05-12 |
| 1588285647 | Jesse Sieger-walls | Counselor | 32 Bellerive Acres, Saint Louis, MO 63121-4321 | 2020-04-29 |
| 1265061394 | Victoria Kyles | Counselor | 124 Forestwood Dr, Saint Louis, MO 63135-2827 | 2020-04-01 |
| 1790312528 | Sarah Williford | Counselor | 8420 Delmar Blvd Ste 301, Saint Louis, MO 63124-2178 | 2020-03-23 |
| 1033745005 | Casey Robert Thompson | Counselor | 600 Buckley Rd, Saint Louis, MO 63125-5303 | 2020-03-20 |
| 1891328613 | Jessica Kay Dowling | Counselor | 3008 Sutton Blvd Ste 200, Saint Louis, MO 63143-3064 | 2020-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
Please comment or provide details below to improve the information on MRS. CAROL JO MACK.
| 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.