M. KATHLEEN BLANCHARD (NPI# 1518321041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518321041 |
| Entity Type | Individual |
| Full Name | M. KATHLEEN BLANCHARD |
| Other Name | M. KATHLEEN KOPRIVA |
| Credential | LPC |
| Practice Address |
11042 Manchester Rd. Kirkwood MO 63122 |
| Practice Telephone | 3142233963 |
| Practice Fax Number | 3145964559 |
| Mailing Telephone | 3142233963 |
| Mailing Fax Number | 3145964559 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2008017603 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
20080117603 | MO | Behavioral Health & Social Service Providers |
| Street Address |
11042 MANCHESTER RD. |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| 1396016200 | Sensible Dental - Kirkwood | Dentist | 1202 S. Kirkwood Road, Kirkwood, MO 63122 | 2012-01-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574771 | Cara Conde | Counselor | 111 Prospect Ave Ste 202c, Kirkwood, MO 63122-6052 | 2018-10-19 |
| 1497244180 | Emily Kate Kothe | Counselor | 112 W Jefferson Ave Ste 130, Kirkwood, MO 63122-4062 | 2018-05-08 |
| 1407352115 | Will Mattingly | Counselor | 12166 Old Big Bend Rd Ste 204, Kirkwood, MO 63122-6836 | 2018-04-02 |
| 1679903603 | Jenna Mueller | Counselor | 12166 Old Big Bend Rd Ste 102, Kirkwood, MO 63122-6836 | 2013-11-12 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1477823227 | Karen Grayson | Counselor | 10406 Manchester Rd, Suite 211a, Kirkwood, MO 63122-1524 | 2012-01-11 |
| 1841587607 | Claudine Miller | Counselor | 12166 Old Big Bend Rd Ste 210, Kirkwood, MO 63122-6836 | 2011-06-30 |
| 1134433907 | Mark Alan Young | Counselor | 496 Longfellow Ave, Kirkwood, MO 63122-3829 | 2010-08-03 |
| 1801066444 | Sarah Marie Patterson-mills | Counselor | 520 Woodard Dr, Kirkwood, MO 63122-5739 | 2008-03-11 |
| 1164548038 | David Christopher Estes | Counselor | 406 George Ave, Kirkwood, MO 63122 | 2007-03-22 |
| Find all providers in KIRKWOOD | ||||
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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.