MRS. MARSHA J IVESTER (NPI# 1801162474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801162474 |
| Entity Type | Individual |
| Full Name | MRS. MARSHA J IVESTER |
| Other Name | MRS. MARSHA J MILES |
| Practice Address |
4218 North Grand Blvd St. Louis MO 63107-1952 |
| Mailing Address |
4218 N Grand Blvd Saint Louis MO 63107-1806 |
| Practice Telephone | 3145346624 |
| Practice Fax Number | 3145354394 |
| Mailing Telephone | 3135346624 |
| Mailing Fax Number | 3145354394 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2015-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16090 | MO | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4218 NORTH GRAND BLVD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63107-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| 1770990038 | Joseph B Clark | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-18 |
| 1336556695 | Chris S Briggs | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-18 |
| 1578970059 | Jacqueline Randolph | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1083115729 | Laquetta Williams | Nurse's Aide | 1121 E Gano Ave, Saint Louis, MO 63107-1319 | 2018-02-27 |
| Find all providers in zip 63107 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950511 | Gene Martino | Counselor | 1750 S Brentwood Blvd Ste 302, Saint Louis, MO 63144-1339 | 2020-10-20 |
| 1255951398 | Jennifer Dayle King Brogan | Counselor | 1157 Telegraph Rd, Arnold, MO 63010-4060 | 2020-04-18 |
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1467008599 | The Brook Wellness Center | Counselor | 895 State Highway 248 Ste C, Branson, MO 65616-4013 | 2019-08-14 |
| 1437719879 | Rejuvenating Counseling Services | Counselor | 9191 W Florissant Ave Ste 206, Saint Louis, MO 63136-1424 | 2019-06-18 |
| 1467915645 | Plan Your Recovery, LLC | Counselor | 9890 Clayton Rd Ste 132, Saint Louis, MO 63124-1685 | 2019-04-13 |
| 1023572534 | Foundation Recovery Center | Counselor | 2301 Frederick Ave Ste 6, Saint Joseph, MO 64506-2637 | 2019-01-29 |
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1841769908 | Bernard Godfrey Jr. | Counselor | 3966 Max Weich Pl, Florissant, MO 63033-6768 | 2018-11-19 |
| 1356816631 | Patrick P Pruitt | Counselor | 600 W 39th St, Kansas City, MO 64111-2910 | 2018-10-12 |
| 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.