MRS. SHAYNE MICHELLE BROCK (NPI# 1578606489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578606489 |
| Entity Type | Individual |
| Full Name | MRS. SHAYNE MICHELLE BROCK |
| Credential | M.S., LPC, NCC |
| Practice Address |
6007 N 21st St Ozark MO 65721-7634 |
| Practice Telephone | 4175816811 |
| Practice Fax Number | 4175816901 |
| Mailing Telephone | 4175816811 |
| Mailing Fax Number | 4175816901 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
2002026435 | MO | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
2002026435 | MO | Behavioral Health & Social Service Providers |
| Street Address |
6007 N 21ST ST |
| City | OZARK |
| State | MO |
| Zip Code | 65721-7634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518078146 | Ann M Beatty | Psychologist | 6007 N 21st St, Ozark, MO 65721-7634 | 2006-08-31 |
| 1710252895 | Robert Keyes | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2012-03-21 |
| 1003186735 | Tara Jean Forrester | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2012-01-11 |
| 1851557441 | Lori Elizabeth Lewis | Speech-Language Pathologist | 6007 N 21st St, Ozark, MO 65721-7634 | 2008-08-02 |
| 1144355371 | Beth E Cantrell | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2007-02-21 |
| 1326181678 | Cynthia Herrmann Baker | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2007-02-15 |
| 1538202171 | Holly Lee Divin-deckard | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2007-02-14 |
| 1851433007 | Michelle Marie Phillips | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2007-02-13 |
| 1013054733 | Touchstone Counseling LLC | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1568526176 | Thomas Nixon | Counselor | 191 Katherine Ave, Ozark, AL 36360-1976 | 2006-12-20 |
| 1457997603 | Ashton Pattberg | Counselor | 127 S Court Sq, Ozark, AL 36360-0401 | 2019-11-22 |
| 1912551961 | Jenny Leigh Hornick | Counselor | 5608 N 13th Ave, Ozark, MO 65721-6314 | 2019-07-29 |
| 1902256134 | Ashley R Lamb | Counselor | 5608 N 13th Ave, Ozark, MO 65721-6314 | 2016-06-19 |
| 1649669102 | Alana Varney | Counselor | 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 | 2015-01-21 |
| 1861514937 | Peggy A Harpster | Counselor | 1406 S 17th Ave, Ozark, MO 65721-8435 | 2007-04-06 |
| 1326181678 | Cynthia Herrmann Baker | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2007-02-15 |
| 1538202171 | Holly Lee Divin-deckard | Counselor | 6007 N 21st St, Ozark, MO 65721-7634 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1922606375 | Dana M. Powell and Associates, LLC | Counselor | 1108 Valentine St, Festus, MO 63028-1254 | 2020-10-16 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1720685787 | Patricia Ann Katzfey | Counselor | 1605 Baxter Forest Ridge Ct, Chesterfield, MO 63005-4660 | 2020-10-02 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1871100834 | Curtis Lee Cook | Counselor | 412 Washington Ave, West Plains, MO 65775-3432 | 2020-09-24 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1023623816 | Hannah Rachelle Tinnin | Counselor | 209 N Cowling St, Desloge, MO 63601-3132 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.