MRS. AINE MUIREANN MACSITHIGH (NPI# 1902916992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902916992 |
| Entity Type | Individual |
| Full Name | MRS. AINE MUIREANN MACSITHIGH |
| Other Name | MRS. ANN MARLENE MAC SITHIGH |
| Credential | LPC |
| Practice Address |
1203 Forum Dr Ste B Rolla MO 65401-2503 |
| Practice Telephone | 5736451429 |
| Practice Fax Number | 5733684757 |
| Mailing Telephone | 5736451429 |
| Mailing Fax Number | 5733684757 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
002216 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS/ BLUE SHIELD | 156176 | 01 |
| MO | 498628130 | 05 | |
| MO | PROVIDER ID # | CAQH | 01 |
| Street Address |
1203 FORUM DR STE B |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000754 | Healing Hearts Counseling LLC | Counselor | 901 N Pine St # 105c, Rolla, MO 65401-3141 | 2020-07-17 |
| 1003107236 | Elma Katherine Mcbroom | Counselor | 485 Schofer St, Rolla, MO 65401-8040 | 2011-04-21 |
| 1538479506 | Children's Outreach and Parent Education | Counselor | 12 Duke Dr, Rolla, MO 65401-2066 | 2010-10-08 |
| 1639318918 | Kimberly J Schaefer | Counselor | 1708 A State Route 72 E, Rolla, MO 65401-3994 | 2009-02-11 |
| 1437398948 | Gene D Schaefer | Counselor | 1708a E State Route 72, Rolla, MO 65401-3994 | 2009-02-08 |
| 1104006618 | Lynne Grace Davidson | Counselor | 1051 Kingshighway St, Rolla, MO 65401-2938 | 2007-11-13 |
| 1144861576 | Phelps Therapy LLC | Counselor | 1003 Hauck Dr, Rolla, MO 65401-2584 | 2019-10-07 |
| 1730740069 | Emmogene Lee Chepely | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2019-06-26 |
| 1619457660 | Amy M. Chambers | Counselor | 1450 E 10th St, Rolla, MO 65401-3648 | 2018-08-20 |
| 1437518321 | Savannah Harness | Counselor | 1450 E 10th St, Rolla, MO 65401 | 2016-02-19 |
| Find all providers in ROLLA | ||||
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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.