MR. MARLIN DALE SHORLEY (NPI# 1154430395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154430395 |
Entity Type | Individual |
Full Name | MR. MARLIN DALE SHORLEY |
Credential | LPC, MA |
Practice Address |
4901 Main St Ste. 401 Kansas City MO 64112-2646 |
Practice Telephone | 8167537071 |
Practice Fax Number | 8167538189 |
Mailing Telephone | 8167537071 |
Mailing Fax Number | 8167538189 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
000615 | MO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BC/BS KS | 567219 | 01 |
CIGNA | 52709 | 01 | |
MO | BC/BS OF KC | 20754063 | 01 |
Street Address |
4901 MAIN ST STE. 401 |
City | KANSAS CITY |
State | MO |
Zip Code | 64112-2646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740275502 | Body In Motion PC | Physical Therapist | 4901 Main St, Ste 308, Kansas City, MO 64112-2646 | 2005-09-16 |
1497085260 | Help At Home, Inc | Home Health | 4901 Main St, Suite 217, Kansas City, MO 64112-2646 | 2009-12-30 |
1336275809 | Randall D Dawson | Counselor | 4901 Main St, Suite 310, Kansas City, MO 64112-2646 | 2007-02-26 |
1497816466 | Bonnie E Benson | Social Worker | 4901 Main St, Suite 408, Kansas City, MO 64112-2646 | 2006-12-13 |
1831208099 | Anne H. Wagner | Counselor | 4901 Main St, Ste. 401, Kansas City, MO 64112-2646 | 2006-08-30 |
1083728646 | Patrick J Murray | Psychologist | 4901 Main St, Suite 310, Kansas City, MO 64112-2646 | 2006-08-19 |
1801814421 | Mary K Richardson | Psychologist | 4901 Main St, Ste. 401, Kansas City, MO 64112-2646 | 2006-07-18 |
1972521292 | Lori B Schwartz | Psychologist | 4901 Main St, Ste. 401, Kansas City, MO 64112-2646 | 2006-07-17 |
1629096961 | Stephen W. Corey | Psychologist | 4901 Main St, Ste. 401, Kansas City, MO 64112-2646 | 2006-07-17 |
1861426892 | Mary Cutting | Social Worker | 4901 Main St, Ste. 401, Kansas City, MO 64112-2646 | 2006-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033634209 | Jackson Health Supplies | Durable Medical Equipment & Medical Supplies | 4741 Central St., #527, Kansas, MO 64112 | 2017-08-09 |
1376784835 | Midtown Family Medicine PC | Family Medicine | 4620 J. C. Nichols Parkway, Suite 405, Kansas City, MO 64112 | 2009-03-13 |
1356502041 | Kasey Lawrence Call | Dentist | 4700 Bellview, Suite L10, Kansas City, MO 64112 | 2008-06-24 |
1154488872 | Joyce M Tobiasen | Psychologist | 1 Ward Parkway, Ste. 107, Kansas City, MO 64112 | 2007-01-02 |
1457446577 | Gary Patrick Morgan | Dentist | 801 W 47th Street, Ste 408, Kansas City, MO 64112 | 2006-10-04 |
1942393541 | Midwest Christian Counseling Center | Voluntary or Charitable | 4800 Main, Suite G29, Kansas City, MO 64112 | 2006-10-02 |
1154436715 | Gregory John Stelzer | Dentist | 315 Nichols Rd 198, Kansas City, MO 64112 | 2006-08-21 |
1477583136 | James Garrett Bunton | Dentist | 4635 Wyandotte, Suite 200, Kansas City, MO 64112 | 2006-07-05 |
1508271834 | Jessica Niederee | Dentist | 4746 Belleview Ave, Kansas City, MO 64112 | 2014-06-25 |
1629207709 | Anna Maria Bellatin PC | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 64112 | 2009-07-09 |
Find all providers in zip 64112 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154938595 | More't R Freeman | Counselor | 1414 N 77th St, Kansas City, KS 66112-2434 | 2020-09-29 |
1477169795 | Josiah Thompson | Counselor | 107 W 9th St # 302, Kansas City, MO 64105-1705 | 2020-09-22 |
1780299719 | Timothy James Klopfenstein | Counselor | 3616 E 112th St, Kansas City, MO 64137-2323 | 2020-09-15 |
1770191488 | Tonesia K Vaughn | Counselor | 7140 Wornall Rd Ste 205, Kansas City, MO 64114-1369 | 2020-07-20 |
1053935171 | Arianna D Williams | Counselor | 1801 Nw 38th St Apt 405, Kansas City, MO 64116-4587 | 2020-06-04 |
1255953105 | Jill Anderson | Counselor | 3216 Gillham Plz, Kansas City, MO 64109-1742 | 2020-05-14 |
1770118051 | James David Toon | Counselor | 3216 Gillham Plz Ste 210, Kansas City, MO 64109-1742 | 2020-03-07 |
1396376349 | Carolyn Grace | Counselor | 405 Ne 90th Ter, Kansas City, MO 64155-2445 | 2020-01-29 |
1184262503 | John M Kuykendall | Counselor | 851 Nw 45th St Ste 101, Kansas City, MO 64116-4613 | 2019-12-16 |
1497392112 | Lacey Mings-upshaw | Counselor | 107 W 9th St Ste 324, Kansas City, MO 64105-1705 | 2019-12-02 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64112 |
Please comment or provide details below to improve the information on MR. MARLIN DALE SHORLEY.
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.