MANDI SHROCK (NPI# 1821650326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821650326 |
| Entity Type | Individual |
| Full Name | MANDI SHROCK |
| Credential | LPC, NCC |
| Practice Address |
115 S Sycamore St Gardner KS 66030-1348 |
| Mailing Address |
208 S Rogers Rd Louisburg KS 66053-4064 |
| Practice Telephone | 9137359073 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | KS | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
KS | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
KS | Behavioral Health & Social Service Providers |
| Street Address |
115 S SYCAMORE ST |
| City | GARDNER |
| State | KS |
| Zip Code | 66030-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053506071 | James Craig Waddle | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2007-09-12 |
| 1629620679 | Head To Heart Integrative Counseling LLC | Clinic/Center | 115 S Sycamore St, Gardner, KS 66030-1348 | 2019-07-10 |
| 1396243622 | Anna Roth | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2018-02-01 |
| 1609254598 | Deb Zumwalt | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2015-05-11 |
| 1205226354 | Karrisa Dyan Hutsell | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2015-01-28 |
| 1740698323 | Laura Cline | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2014-07-28 |
| 1154674885 | Lauren Marie Engle | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2012-10-18 |
| 1437443850 | Phillip Dwain Hause | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2011-06-02 |
| 1275835001 | Erin R Showalter | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2010-11-30 |
| 1205005600 | Jennifer K Secor | Counselor | 115 S Sycamore St, Gardner, KS 66030-1348 | 2008-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053340 | Arismun Bobby Rattanapon | Student in an Organized Health Care Education/Training Program | 320 W Westhoff Pl, Gardner, KS 66030 | 2018-11-27 |
| 1790273282 | Amy Michelle Bokelman | Pharmacist | 1725 E Sante Fe St, Gardner, KS 66030 | 2018-04-30 |
| 1720450422 | Sheila Mcniff | Pharmacist | 1725 East Santa Fe Street, Gardner, KS 66030 | 2015-10-21 |
| 1609061795 | Cook Family Chiropractic Inc. | Chiropractor | 969 E. Lincoln Ln., Gardner, KS 66030 | 2007-09-11 |
| 1306057716 | Paul D. Mabe, Dds, Chartered | Dentist | 971 E. Lincoln Ln., Gardner, KS 66030 | 2007-05-25 |
| 1396954483 | Brian Todd Cook | Chiropractor | 969 E. Lincoln Lane, Gardner, KS 66030 | 2007-05-22 |
| 1619198116 | Toni Eyer | Occupational Therapy Assistant | 223 Bedford Street, Gardner, KS 66030 | 2007-05-01 |
| 1598855389 | Kristin Mary Vanbecelaere | Optometrist | 1555 E Santa Fe St, Gardner, KS 66030 | 2006-10-13 |
| 1104926997 | Wal-mart Stores, Inc. | Technician/Technologist | 1555 E. Santa Fe St., Gardner, KS 66030 | 2006-09-22 |
| 1861445561 | John L Sherard | Family Medicine | 18320 So Center St, Gardner, KS 66030 | 2006-05-17 |
| Find all providers in zip 66030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039499 | Jasmine Lanice Galloway | Counselor | 22 Sawyer St, Gardner, MA 01440-3266 | 2020-10-01 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1669928586 | Courtney Tackett | Counselor | 22 Watkins St, Gardner, MA 01440-1849 | 2016-08-31 |
| 1821461328 | Donna M. St Jean | Counselor | 12 Jean St, Gardner, MA 01440-3714 | 2015-11-05 |
| 1174926208 | Jaromir Hovad | Counselor | 20 Barthel Ave, Gardner, MA 01440-2502 | 2014-10-03 |
| 1952711459 | Brittany Rood | Counselor | 101 Mechanic St, Gardner, MA 01440-3119 | 2014-05-06 |
| 1518380245 | Jerome Oliver Mckean | Counselor | 171 Crestwood Dr, Gardner, MA 01440-2326 | 2014-01-31 |
| 1134481542 | Michael Aaron Mcgrath | Counselor | 205 School St Ste 202, Gardner, MA 01440-2781 | 2012-06-12 |
| 1699912733 | Dorothy D Williams | Counselor | 205 School St Ste 301, Gardner, MA 01440-2781 | 2009-01-12 |
| Find all providers in GARDNER | ||||
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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.