MARK SPECK (NPI# 1790319069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790319069 |
| Entity Type | Individual |
| Full Name | MARK SPECK |
| Practice Address |
1215 N Main St Ste 1 Monticello KY 42633-2900 |
| Practice Telephone | 6062786096 |
| Mailing Telephone | 6062786096 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
171888 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407904519 | Mark Lee Speck | Dentist | 3131 Eastside St Ste 470, Houston, TX 77098-1919 | 2007-01-08 |
| Street Address |
1215 N MAIN ST STE 1 |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639730955 | Rise Mental Health and Wellness | Counselor | 1215 N Main St Ste 1, Monticello, KY 42633-2900 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615299 | William Raleigh Hollon IIi | Counselor | 55 Surrey Hill Rd, Monticello, KY 42633-2320 | 2019-12-03 |
| 1639730955 | Rise Mental Health and Wellness | Counselor | 1215 N Main St Ste 1, Monticello, KY 42633-2900 | 2019-06-26 |
| 1144738816 | Kaylas Place | Counselor | 41 Sheldon Dr, Monticello, NY 12701-4122 | 2018-01-16 |
| 1578079109 | Patsy R Catron | Counselor | 45 Surrey Hill Rd, Monticello, KY 42633-2320 | 2017-12-19 |
| 1194133116 | Jessica Pusc | Counselor | 4300 School Blvd, Suite 107, Monticello, MN 55362-4679 | 2014-07-23 |
| 1013201847 | Kathleen Rose-penkala Massmann | Counselor | 9766 Fallon Ave Ne Ste 201, Monticello, MN 55362-4589 | 2011-06-09 |
| 1629256805 | Johanna Mary Gersten | Counselor | 390 Broadway, Monticello, NY 12701-1157 | 2008-02-10 |
| 1487786539 | Ayd & Cavanagh, LLC | Counselor | 9007 Kagan Ave Ne, Monticello, MN 55362-4535 | 2007-03-12 |
| 1821128422 | Fred Pefferkorn | Counselor | 139c E Jackson Ave, Monticello, AR 71655-4933 | 2007-03-06 |
| 1306971338 | Joyce Bolin | Counselor | 802 W Columbia Ave, Monticello, KY 42633-1630 | 2007-02-22 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
Please comment or provide details below to improve the information on MARK SPECK.
| 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.