MEMOIR COUNSELING, LLC (NPI# 1578192308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578192308 |
| Entity Type | Organization |
| Organization Name | MEMOIR COUNSELING, LLC |
| Practice Address |
4731 S Cochise Dr Ste 206 Independence MO 64055-6975 |
| Mailing Address |
2906 Ne Russell Rd Kansas City MO 64117-2167 |
| Practice Telephone | 8163736433 |
| Mailing Telephone | 9136455733 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | MARGAUX KERVIN (PROVIDER) |
| Authorized Official Telephone | 8168660334 |
| Authorized Official Credential | LPC, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1194244541 | 05 |
| Street Address |
4731 S COCHISE DR STE 206 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-6975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942526306 | Brian D Garner | Counselor | 4731 S Cochise Dr Ste 206, Independence, MO 64055-6975 | 2010-04-10 |
| 1437766888 | Alyssa S Blyden | Counselor | 4731 S Cochise Dr Ste 206, Independence, MO 64055-6975 | 2020-09-29 |
| 1750892360 | Wyatt J Ezechiels | Counselor | 4731 S Cochise Dr Ste 206, Independence, MO 64055-6975 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873052 | Lee Harris Counseling LLC | Clinic/Center | 1404 N Cherokee St, Independence, MO 64058-1106 | 2019-04-16 |
| 1174634240 | Lds Family Services | Clinic/Center | 517 W Walnut St, Suite 2, Independence, MO 64050-3632 | 2006-08-31 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1255303335 | Comprehensive Mental Health Services Inc | Clinic/Center | 17844 E. 23rd. St., Independence, MO 64057-1805 | 2006-02-03 |
| 1841290251 | Four County Mental Health Center Inc | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2005-07-28 |
| 1033288535 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-11-07 |
| 1396825782 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
| 1598845984 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
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|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1912511379 | Community Connect LLC | Clinic/Center | 3080 Churchill Dr, Florissant, MO 63033-1116 | 2020-09-03 |
| 1447864848 | Valiant Therapeutic Services | Clinic/Center | 4444 N Belleview Ave Ste 100, Kansas City, MO 64116-1507 | 2020-09-02 |
| 1598377673 | Ubuntu Counseling LLC | Clinic/Center | 8400 Atherton Dr Apt 2s, Saint Louis, MO 63130-1001 | 2020-08-19 |
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1679102230 | Renew Counseling LLC | Clinic/Center | 312 W Washington St, Kirksville, MO 63501-2876 | 2020-04-06 |
| 1891329322 | Individual Marriage and Family Enrichment LLC | Clinic/Center | 601 W Nifong Blvd Ste 1e, Columbia, MO 65203-6804 | 2020-02-24 |
| 1861024754 | Chrysalis Wellness LLC | Clinic/Center | 3863 S Campbell Ave Ste A, Springfield, MO 65807-5339 | 2020-02-07 |
| 1275178451 | Awaken360, Inc. | Clinic/Center | 829 W Atlantic St, Springfield, MO 65803-1517 | 2019-11-12 |
| 1053953422 | Kirwood Medication Assisted Treatments | Clinic/Center | 111 Prospect Ave Ste 201, Kirkwood, MO 63122-6052 | 2019-10-17 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.