STARKE R FARRELL (NPI# 1396757860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396757860 |
Entity Type | Individual |
Full Name | STARKE R FARRELL |
Credential | LCSW |
Practice Address |
248 E Capitol St 840 Trust Mark Bldg Jackson MS 39201-2503 |
Mailing Address |
118 N Commerce St Po Box 726 Ripley MS 38663-2009 |
Practice Telephone | 8006326074 |
Mailing Telephone | 6629939024 |
Mailing Fax Number | 6629939025 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
C6287 | MS | Behavioral Health & Social Service Providers |
Street Address |
248 E CAPITOL ST 840 TRUST MARK BLDG |
City | JACKSON |
State | MS |
Zip Code | 39201-2503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437151636 | Romona Broussard Mayeux | Nurse Practitioner | 248 E Capitol St, Room 105, Jackson, MS 39201-2503 | 2005-06-01 |
1922325653 | Angela T Haydel | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-20 |
1215252044 | B Denise Brown-rouse | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-05 |
1538307145 | Tanya M Edwards | Social Worker | 248 E Capitol St, Jackson, MS 39201-2503 | 2009-02-04 |
1194976779 | Thomas N Elliott | Psychologist | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2008-10-01 |
1497928683 | Qmh LLC | Counselor | 248 E Capitol St, Jackson, MS 39201-2503 | 2008-04-08 |
1841497666 | Mary A Cathey | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-06-27 |
1245440288 | Vanessa D Cox | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-05-22 |
1407074115 | Henry E Goodman | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-04-20 |
1992822159 | Leah Headings | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-03-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962836874 | Tanericha Lashay Anderson | In Home Supportive Care | 3200 Jackson St, Jackson, MS 39201 | 2013-08-27 |
1871617423 | Karen White Jones | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-19 |
1912520768 | James Charles Haycraft | Marriage & Family Therapist | 431 N State St, Jackson, MS 39201-1108 | 2020-05-27 |
1548758832 | Lisa Allegrezza Sorey | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2018-04-23 |
1609287531 | William Mcneese Jr. | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2014-05-13 |
1902217805 | Laurel Boyd | Counselor | 431 N State St, Summit Counseling, Jackson, MS 39201-1108 | 2014-05-13 |
1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
1427350453 | Donald E. Waller | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-23 |
1285935932 | Summit Counseling | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-11 |
1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
Find all providers in zip 39201 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
Find all providers in JACKSON |
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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.