MS. DESIREE DIANNE MALAM (NPI# 1760723134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760723134 |
| Entity Type | Individual |
| Full Name | MS. DESIREE DIANNE MALAM |
| Practice Address |
4855 S Farm Road 205 Rogersville MO 65742-8681 |
| Practice Telephone | 4178948163 |
| Mailing Telephone | 4178948163 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2013006416 | MO | Behavioral Health & Social Service Providers |
| Street Address |
4855 S FARM ROAD 205 |
| City | ROGERSVILLE |
| State | MO |
| Zip Code | 65742-8681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851953103 | Sara L Newhard | Counselor | 3955 S. Farm Road 223, Rogersville, MO 65742 | 2019-07-07 |
| 1235653551 | Madison Marie Parson | Physical Therapy Assistant | 586 Cottonwood Rd., Rogersville, MO 65742 | 2017-07-28 |
| 1548612062 | Jonathan Price | Student in an Organized Health Care Education/Training Program | 5649 South Highway 125, Rogersville, MO 65742 | 2016-07-08 |
| 1366790941 | Pediatric Neuropsychological Services, LLC | Clinical Neuropsychologist | 175 S. Marshall, Suite G, Rogersville, MO 65742 | 2012-08-29 |
| 1245426436 | Lori Ann Cole | Occupational Therapist | 113 E. Center St., Ozark Therapy Institute, Rogersville, MO 65742 | 2007-09-20 |
| 1942335203 | Sgoh Acquisition Inc | Clinic/Center | 101 South Main, Rogersville, MO 65742 | 2007-02-23 |
| 1922190842 | Bret E Herrman | Chiropractor | 319 S Main, Ste F, Rogersville, MO 65742-0228 | 2006-09-28 |
| 1952804668 | Equi-librium Therapy Center | Clinic/Center | 1148 S Courtney Ln, Rogersville, MO 65742-4501 | 2018-03-09 |
| 1134167331 | Theodore Brooke Nelson | Physical Therapist | 5764 S Farm Road 203, Rogersville, MO 65742-6436 | 2006-06-02 |
| 1598998775 | Nelson Physical Therapy and Rehab, P.C. | Physical Therapist | 5764 S Farm Road 203, Rogersville, MO 65742-6436 | 2009-09-03 |
| Find all providers in zip 65742 | ||||
| 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 |
|---|---|---|---|---|
| 1922359876 | Mcguire Christian Counseling Inc | Counselor | 776 S Lloyd Dr, Rogersville, MO 65742-9111 | 2012-10-01 |
| 1235481946 | Sue Ann Marie Rybarczyk | Counselor | 776 S Lloyd Dr, Rogersville, MO 65742-9111 | 2012-10-04 |
| 1114187804 | Michaeline Nichole Harrison | Counselor | 101 Lena Dr, Rogersville, TN 37857-2951 | 2008-06-16 |
| 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 | ||||
| City | ROGERSVILLE |
| Zip Code | 65742 |
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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.