MR. MARK R VANDERLIP (NPI# 1508040130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508040130 |
| Entity Type | Individual |
| Full Name | MR. MARK R VANDERLIP |
| Credential | M.A., LPC/MHSP |
| Practice Address |
3845 Holston College Rd. Louisville TN 37777-4029 |
| Mailing Address |
201 West Springdale Ave. Knoxville TN 37917-5158 |
| Practice Telephone | 8655245757 |
| Practice Fax Number | 8653805088 |
| Mailing Telephone | 8656379711 |
| Mailing Fax Number | 8656379711 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 9726 | CO | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC2607 | TN | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC2607 | TN | Behavioral Health & Social Service Providers |
| Street Address |
3845 HOLSTON COLLEGE RD. |
| City | LOUISVILLE |
| State | TN |
| Zip Code | 37777-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225405475 | Blount County Snf Operations, LLC | Skilled Nursing Facility | 1965 Stewart Lane, Louisville, TN 37777 | 2015-08-24 |
| 1932533643 | Mary Martin Cadieux | Obstetrics & Gynecology | 3824 Compass Pointe Dr, Louisville, TN 37777 | 2013-08-29 |
| 1386960102 | Toni Danielle Pickle | Social Worker | 2431 Jones Bend Rd., Louisville, TN 37777 | 2010-04-19 |
| 1255666590 | Dale William Willetts | Specialist/Technologist, Other | 3733 Riverbrook Dr, Louisville, TN 37777 | 2009-10-05 |
| 1598998619 | Village Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2431 Jones Bend Road, Louisville, TN 37777 | 2009-08-25 |
| 1538364716 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1921 Topside Road, Louisville, TN 37777 | 2007-06-18 |
| 1245392760 | Barbara L Taylor | Psychologist | 2341 Jones Bend Road, Louisville, TN 37777 | 2006-12-14 |
| 1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
| 1811960834 | Barrington N Nash | Family Medicine | 1921 Topside Rd, Ste 200, Louisville, TN 37777 | 2006-02-09 |
| 1871580027 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1705 Base Pointe Way, Louisville, TN 37777 | 2005-10-03 |
| Find all providers in zip 37777 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| 1366082059 | Ramicha T Smith | Counselor | 4602 Southern Pkwy Ste 2c, Louisville, KY 40214-1442 | 2020-01-09 |
| 1558904888 | Sarah Christine Faulkner | Counselor | 3801 Beaufort Ln Apt B, Louisville, KY 40207-4454 | 2019-10-18 |
| 1477101103 | Far Journeys LLC | Counselor | 9720 Bunsen Pkwy, Louisville, KY 40299-1802 | 2019-08-27 |
| 1528615689 | Candace Cooper | Counselor | 214 Breckenridge Ln Ste 203, Louisville, KY 40207-3879 | 2019-08-23 |
| 1760036768 | Rebecca L Roberts-kerns | Counselor | 1936 Gardiner Ln Apt 3, Louisville, KY 40205-2858 | 2019-07-29 |
| 1477110906 | Lauren Muir | Counselor | 1860 Mellwood Ave Ste 117, Louisville, KY 40206-1033 | 2019-05-20 |
| 1851956999 | Christine Smock | Counselor | 700 Front St # 106, Louisville, CO 80027-1805 | 2019-05-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 37777 |
Please comment or provide details below to improve the information on MR. MARK R VANDERLIP.
| 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.