ELLEN M NICKRENT (NPI# 1699249722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699249722 |
| Entity Type | Individual |
| Full Name | ELLEN M NICKRENT |
| Credential | LPC, NCC |
| Practice Address |
11042 Manchester Rd Kirkwood MO 63122-1244 |
| Practice Telephone | 8444623492 |
| Mailing Telephone | 8444623492 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2011005978 | MO | Behavioral Health & Social Service Providers |
| Street Address |
11042 MANCHESTER RD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790994804 | Stephanie Christine Schulte | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2007-05-22 |
| 1598394793 | Paula Heller | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2020-04-08 |
| 1962031385 | Shanti Source Counseling LLC | Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2020-04-07 |
| 1356970263 | Ayana Jackson | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2020-04-02 |
| 1811534647 | T.a.v.e.r.n. Health and Wellness, LLC | Nutritionist | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2019-11-27 |
| 1962976084 | Diversified Health and Wellness Center | Public Health or Welfare | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2019-01-12 |
| 1811492077 | Roots Renewal Counseling | Clinic/Center | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2018-03-28 |
| 1760997159 | Dawn Gross LLC | Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2017-12-06 |
| 1831647809 | Joyce Hathaway | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2016-09-19 |
| 1790194140 | Caitlin D Fahrner | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122 | 2014-08-11 |
| Find all providers in the same location | ||||
| 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 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 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 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301568 | Stacy Elizabeth Mansker | Counselor | 220 W Argonne Dr Ste E, Kirkwood, MO 63122-4237 | 2019-08-14 |
| 1790994804 | Stephanie Christine Schulte | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2007-05-22 |
| 1811050883 | Nancy Ann Albus | Counselor | 325 N Kirkwood Rd # G-4, Kirkwood, MO 63122-4071 | 2006-12-19 |
| 1497856322 | Christine Mcnaughton | Counselor | 222 West Argonne, Kirkwood, MO 63122 | 2006-09-25 |
| 1891141917 | Jessica Nichole Orrick | Counselor | 140 Prospect Ave, Suite D, Kirkwood, MO 63122-6024 | 2016-05-07 |
| 1417392580 | Megan Aquadro Jung | Counselor | 12166 Old Big Bend Rd, Suite 204, Kirkwood, MO 63122-6844 | 2013-05-02 |
| 1265799670 | Latonya Rochelle Jones | Counselor | 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 63122-4015 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861644 | Barbara Schuver | Counselor | 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 | 2020-11-04 |
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1255946356 | Jessika Triplett | Counselor | 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 | 2020-09-15 |
| 1629689344 | Jennifer Walsh | Counselor | 5704 Rosa Ave, Saint Louis, MO 63109-3256 | 2020-08-14 |
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| 1952910408 | Tiffany Wingo | Counselor | 4143 California Ave, Saint Louis, MO 63118-4507 | 2020-07-29 |
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1093323990 | Agency A Wellness Center | Counselor | 305 Business Highway 61 N, Bowling Green, MO 63334-1301 | 2020-07-16 |
| 1386267227 | Paula Coyote Schaaf | Counselor | 1924 Van Brunt Blvd, Kansas City, MO 64127-2999 | 2020-05-27 |
| 1275156382 | Rebecca King | Counselor | 5407 Bagnall Dr, Jefferson City, MO 65109-0484 | 2020-05-22 |
| 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.