MARION MAROLD VICKERMAN (NPI# 1760827794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760827794 |
| Entity Type | Individual |
| Full Name | MARION MAROLD VICKERMAN |
| Credential | MS, LMFT |
| Practice Address |
156 S Main St Ste 120 Lumberton TX 77657-7882 |
| Mailing Address |
Po Box 340 Warren TX 77664-0340 |
| Practice Telephone | 4092002220 |
| Mailing Telephone | 7196604039 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 202574 | TX | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | CO 613 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2864 S Circle Dr, Ste 350, Colorado Springs, CO 809064114 | 7195319211 | 7195406045 |
| 400 County Road 1860, Warren, TX 776646471 | 7196604039 |
| Street Address |
156 S MAIN ST STE 120 |
| City | LUMBERTON |
| State | TX |
| Zip Code | 77657-7882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316982747 | Ashley Klamfoth | Social Worker | 156 S Main St Ste 120, Lumberton, TX 77657-7882 | 2006-06-19 |
| 1174156871 | Kimberly Craigen | Counselor | 156 S Main St Ste 120, Lumberton, TX 77657-7882 | 2020-02-20 |
| 1063942449 | Donna Telien Darby | Counselor | 156 S Main St Ste 120, Lumberton, TX 77657-7882 | 2017-06-18 |
| 1710313069 | Lisa Sasser Lamey | Counselor | 156 S Main St Ste 120, Lumberton, TX 77657-7882 | 2013-09-18 |
| 1023034667 | Towne Centre Family Healthcare Clinic, Pllc | Nurse Practitioner | 156 S Main St Ste 120, Lumberton, TX 77657-7882 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972134617 | Harriscare Medical Group Pllc | Hospitalist | 220 Blanco Street, Lumberton, TX 77657 | 2020-01-31 |
| 1013465582 | Ronald K. Risinger, Dds, Ms, PC | Clinic/Center | 228a Country Lane Dr, Suite B, Lumberton, TX 77657 | 2016-09-14 |
| 1336556257 | Dental Square Pllc | Dentist | 681 South Main St., Lumberton, TX 77657 | 2014-07-14 |
| 1700121019 | King's Pharmacy of Lumberton | Pharmacy | 139 North Lhs Dr., Suite 211, Lumberton, TX 77657 | 2012-11-28 |
| 1245486810 | In-need Christian Counseling | Counselor | 1015 South Main, In Need Christian Counseling, Lumberton, TX 77657 | 2008-08-14 |
| 1669506879 | Lumberton Fire and Ems | Ambulance | 228 Country Ln, Lumberton, TX 77657 | 2007-03-16 |
| 1225170319 | Harry David Nelams | Dentist | 148 Country Ln Dr, Lumberton, TX 77657 | 2007-02-13 |
| 1962503615 | Dennis De Koven Riston | Emergency Medicine | 768 South Main Street, Lumberton, TX 77657 | 2006-09-26 |
| 1306812532 | Jong Joon Lee | Internal Medicine | 110 W Candlestick, Lumberton, TX 77657 | 2006-02-27 |
| 1154982676 | Hiteshkumar Devani | Dentist | 681 S Main St, Lumberton, TX 77657 | 2019-06-25 |
| Find all providers in zip 77657 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730545492 | Kimberly Elzie | Marriage & Family Therapist | 156 S Main St Ste 130, Lumberton, TX 77657-7882 | 2016-01-11 |
| 1336467497 | Stephanie Brooks Chavis | Marriage & Family Therapist | 5405 Simmons Dr, Lumberton, NC 28360-8225 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013928 | Dana Lewin Counseling, Pllc | Marriage & Family Therapist | 420 N Carroll Ave Ste 140, Southlake, TX 76092-6454 | 2020-11-05 |
| 1679173017 | Christina Helen Grudzinski | Marriage & Family Therapist | 6777 Camp Bowie Blvd Ste 332, Fort Worth, TX 76116-7196 | 2020-10-26 |
| 1083213185 | Darrell Reese | Marriage & Family Therapist | 2656 S Loop W Ste 175, Houston, TX 77054-2698 | 2020-10-20 |
| 1801494752 | Theokratia Psychotherapy Pllc | Marriage & Family Therapist | 1910 Pacific Ave Ste 14225, Dallas, TX 75201-4773 | 2020-10-13 |
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1780281089 | Patricia Ruth Kuenstler | Marriage & Family Therapist | 10544 Cox Ln, Dallas, TX 75229-5209 | 2020-10-08 |
| 1073129185 | Gloria F Dukes | Marriage & Family Therapist | 2243 Colby Ln, Wylie, TX 75098-6010 | 2020-09-23 |
| 1699381657 | Deborah Holt Family Therapy Pllc | Marriage & Family Therapist | 12720 Hillcrest Rd Ste 105, Dallas, TX 75230-7120 | 2020-09-16 |
| 1265046163 | Morgan Doolittle | Marriage & Family Therapist | 8400 Stacy Rd Ste 100, Mckinney, TX 75070-2144 | 2020-09-08 |
| 1619581857 | Francine Haag Morar | Marriage & Family Therapist | 12803 West Ave Apt 9105, San Antonio, TX 78216-1828 | 2020-09-04 |
| 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.