MS. TANYA M MARK (NPI# 1548561046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548561046 |
| Entity Type | Individual |
| Full Name | MS. TANYA M MARK |
| Credential | LPC |
| Practice Address |
9666 Olive Blvd Suite 400 Saint Louis MO 63132-3013 |
| Mailing Address |
6732 Crest Ave 1st Floor Saint Louis MO 63130-2506 |
| Practice Telephone | 3147857274 |
| Mailing Telephone | 3147043623 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2014-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2010037457 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1548561046 | 05 |
| Street Address |
9666 OLIVE BLVD SUITE 400 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144071 | Charles Ryan Patterson | Social Worker | 9666 Olive Blvd, Suite 400, Saint Louis, MO 63132-3025 | 2020-11-08 |
| 1093368805 | Skylar Jordan Nichols | Social Worker | 9666 Olive Blvd, Saint Louis, MO 63132-3013 | 2019-07-20 |
| 1417515842 | Jessica Streit-hrevus | Social Worker | 9666 Olive Blvd, Saint Louis, MO 63132-3013 | 2019-05-31 |
| 1093249005 | Jeanne Oberdan | Marriage & Family Therapist | 9666 Olive Blvd, Suite 400, Saint Louis, MO 63132-3013 | 2017-04-17 |
| 1457723116 | Courtney Haggett | Counselor | 9666 Olive Blvd, Suite 400, Saint Louis, MO 63132-3013 | 2015-10-21 |
| 1487058624 | Kathy Anne Mejia | Counselor | 9666 Olive Blvd, Suite 400, Saint Louis, MO 63132-3013 | 2014-10-17 |
| 1881095313 | Peter Sandoval | Counselor | 9666 Olive Blvd, Suite 400, Saint Louis, MO 63132-3013 | 2014-09-16 |
| 1447651823 | Thetis Alcott | Counselor | 9666 Olive Blvd, Saint Louis, MO 63132-3013 | 2014-09-04 |
| 1598042301 | Monique D Roberts | Counselor | 9666 Olive Blvd, Suite 400, Saint Louis, MO 63132-3013 | 2011-11-08 |
| 1376718544 | Wykeeta Michele Lee | Counselor | 9666 Olive Blvd, Saint Louis, MO 63132-3013 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| 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 | 63132 |
Please comment or provide details below to improve the information on MS. TANYA M MARK.
| 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.