JOYCE HATHAWAY (NPI# 1831647809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831647809 |
| Entity Type | Individual |
| Full Name | JOYCE HATHAWAY |
| Credential | LPC |
| Practice Address |
11042 Manchester Rd Kirkwood MO 63122-1244 |
| Mailing Address |
1510 Gregg Ave Saint Louis MO 63139-3004 |
| Practice Telephone | 3146696452 |
| Mailing Telephone | 6307885839 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2015028807 | MO | Behavioral Health & Social Service Providers |
| Street Address |
11042 MANCHESTER RD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790994804 | Stephanie Christine Schulte | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2007-05-22 |
| 1598394793 | Paula Heller | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2020-04-08 |
| 1962031385 | Shanti Source Counseling LLC | Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2020-04-07 |
| 1356970263 | Ayana Jackson | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2020-04-02 |
| 1811534647 | T.a.v.e.r.n. Health and Wellness, LLC | Nutritionist | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2019-11-27 |
| 1962976084 | Diversified Health and Wellness Center | Public Health or Welfare | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2019-01-12 |
| 1699249722 | Ellen M Nickrent | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2019-01-11 |
| 1811492077 | Roots Renewal Counseling | Clinic/Center | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2018-03-28 |
| 1760997159 | Dawn Gross LLC | Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2017-12-06 |
| 1790194140 | Caitlin D Fahrner | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122 | 2014-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501109 | Jazmyn Frager | Counselor | 206 W Rose Hill Ave, Kirkwood, MO 63122-5918 | 2019-04-26 |
| 1518435445 | Angie Casey | Counselor | 111 Prospect Ave Ste 203j, Kirkwood, MO 63122-6033 | 2018-11-08 |
| 1194259390 | Angela Faye Lovett | Counselor | 108 N Clay Ave Ste 200, Kirkwood, MO 63122-4265 | 2017-04-13 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1811134190 | Chad R Randall | Counselor | 140 Prospect Ave Ste T, Kirkwood, MO 63122-6024 | 2009-01-08 |
| 1003939323 | Glennon Charles Doherty | Counselor | 214 S Clay Ave, Apt. 3, Kirkwood, MO 63122-4215 | 2007-04-10 |
| 1306477724 | Empowering Mind and Body Balance, LLC | Counselor | 10801 Big Bend Rd, Kirkwood, MO 63122-6055 | 2020-02-04 |
| 1578034468 | Alexandra Anne Solaro | Counselor | 108 N Clay Ave Ste 200, Kirkwood, MO 63122-4265 | 2018-12-17 |
| 1265934244 | Amanda Fondow | Counselor | 12166 Old Big Bend Rd Ste 102, Kirkwood, MO 63122-6836 | 2018-03-06 |
| 1265975007 | Patricia Ann Heiser | Counselor | 140 Prospect Ave, Suite S., Kirkwood, MO 63122-6024 | 2016-11-28 |
| Find all providers in KIRKWOOD | ||||
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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.