MS. JACQUELYN SUE MARCUM (NPI# 1407289713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407289713 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYN SUE MARCUM |
| Credential | LMHC |
| Practice Address |
427 E Kanesville Blvd Council Bluffs IA 51503-9079 |
| Mailing Address |
3003 Grover Ave Missouri Valley IA 51555-7020 |
| Practice Telephone | 7122569660 |
| Practice Fax Number | 7122569661 |
| Mailing Telephone | 4029808266 |
| Mailing Fax Number | 7122569661 |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001619 | IA | Behavioral Health & Social Service Providers |
| Street Address |
427 E KANESVILLE BLVD |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-9079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790774024 | Andrea Lynne Cardenzana | Dentist | 427 E Kanesville Blvd, Ste 200, Council Bluffs, IA 51503-4403 | 2005-10-19 |
| 1922607308 | Desirae Vallier | Counselor | 427 E Kanesville Blvd, Council Bluffs, IA 51503-9079 | 2020-10-18 |
| 1811433782 | Kendal A Paulsen | Counselor | 427 E Kanesville Blvd, Suite: 102, Council Bluffs, IA 51503-9079 | 2017-01-16 |
| 1396103362 | Caitlin Kaufman | Counselor | 427 E Kanesville Blvd, Suite 308, Council Bluffs, IA 51503-9079 | 2016-02-05 |
| 1407267305 | Wise Mind Practice LLC | Community/Behavioral Health | 427 E Kanesville Blvd, Suite 305, Council Bluffs, IA 51503-9079 | 2014-05-13 |
| 1821314808 | Center for Healing and Hope, LLC | Social Worker | 427 E Kanesville Blvd, Suite 102, Council Bluffs, IA 51503-9079 | 2010-04-15 |
| 1013149178 | Thurman Psychological LLC | Clinic/Center | 427 E Kanesville Blvd, Suite #406, Council Bluffs, IA 51503-9079 | 2009-08-21 |
| 1992968390 | Caitlin Anne Beresford | Dentist | 427 E Kanesville Blvd, Suite 200, Council Bluffs, IA 51503-4403 | 2008-07-07 |
| 1861517633 | Outreach Chiropractic | Chiropractor | 427 E Kanesville Blvd, Suite 406, Council Bluffs, IA 51503-4403 | 2007-03-20 |
| 1144300328 | Raymond Harold Eischeid | Dentist | 427 E Kanesville Blvd, Council Bluffs, IA 51503-4403 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1790314243 | Your Self-care Therapy | Counselor | 300 W Broadway # 420, Council Bluffs, IA 51503-9019 | 2020-04-06 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1033769112 | Thomas Edward Koch | Counselor | 803 3rd Ave # Ia51501, Council Bluffs, IA 51501-4101 | 2019-09-19 |
| 1447742036 | Heartland Family Service | Counselor | 622 S 4th St, Council Bluffs, IA 51503-9005 | 2018-05-31 |
| 1336645449 | Rachel Newman | Counselor | 6th St and Ave E, Council Bluffs, IA 51502-2943 | 2018-04-05 |
| 1144776931 | Jeannie Hughes | Counselor | 2315 S 13th St, Council Bluffs, IA 51501-7414 | 2016-08-31 |
| 1316331879 | Angel M. Albertson | Counselor | 500 Willow Ave Ste 209, Council Bluffs, IA 51503-0827 | 2015-03-23 |
| 1639562069 | Heartland Family Service | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2015-03-10 |
| 1730599341 | Windy J Disalvo | Counselor | 719 Mill St., Council Bluffs, IA 51502-3008 | 2014-05-05 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on MS. JACQUELYN SUE MARCUM.
| 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.