MARY ANN ROUSE (NPI# 1972167039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972167039 |
| Entity Type | Individual |
| Full Name | MARY ANN ROUSE |
| Practice Address |
7 Westowne St Ste 403 Liberty MO 64068-1166 |
| Mailing Address |
118 N 2nd St Ste 200 Saint Charles MO 63301-2894 |
| Practice Telephone | 8164071754 |
| Mailing Telephone | 6362241210 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
7 WESTOWNE ST STE 403 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861537979 | Preferred Family Healthcare, Inc | Clinic/Center | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2007-02-20 |
| 1033773171 | Jack Buchan | Counselor | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| 1871157933 | Angela Spencer | Peer Specialist | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| 1467016501 | Craig Collins | Counselor | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| 1013571173 | Janet Williams | Peer Specialist | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| 1588228639 | Fadhili Kegode | Community Health Worker | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871157933 | Angela Spencer | Peer Specialist | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| 1013571173 | Janet Williams | Peer Specialist | 7 Westowne St Ste 403, Liberty, MO 64068-1166 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564426 | Tuesday Florence | Peer Specialist | 1312 Highland Dr, Rolla, MO 65401-3609 | 2020-10-04 |
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1922642438 | Christine Marie Forrest | Peer Specialist | 1106 Marlowe St, Fredericktown, MO 63645-8835 | 2019-10-29 |
| 1326699950 | Family Advocacy and Community Training | Peer Specialist | 800 Friedens Rd Ste 200, Saint Charles, MO 63303-4198 | 2019-09-25 |
| 1073077509 | Katherine Anne Walters | Peer Specialist | 504 E Broadway Ste A, Ashland, MO 65010-9538 | 2019-01-29 |
| 1265958441 | Jessica Luedde | Peer Specialist | 1430 Olive St Fl 6, Saint Louis, MO 63103-2303 | 2017-08-18 |
| 1740718303 | Haywood Hughes | Peer Specialist | 1004 Goetz Blvd Apt 4, Joplin, MO 64801-1470 | 2017-05-26 |
| 1366848855 | Rosanna Metcalf | Peer Specialist | 925 State Highway W, Kennett, MO 63857 | 2014-11-10 |
| 1306198411 | Alicia Sutton | Peer Specialist | 248 Chez Vant Ct, Hazelwood, MO 63042-3542 | 2012-10-12 |
| 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.