KEN THOM COUNSELING INC (NPI# 1508909938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508909938 |
| Entity Type | Organization |
| Organization Name | KEN THOM COUNSELING INC |
| Other Organization Name | KENNETH THOM |
| Practice Address |
515 W Cooper Maryville MO 64468-2417 |
| Practice Telephone | 6605622531 |
| Practice Fax Number | 6605623239 |
| Mailing Telephone | 6605622531 |
| Mailing Fax Number | 6605623239 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MR. KENNETH T THOM (PRESIDENT) |
| Authorized Official Telephone | 6605622531 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERNATIONAL CONGRESS OF CHURCHES AND MINISTRIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
002237 | MO | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 002237 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CAHQ | 11633708 | 01 |
| MO | NPI - PERSONAL PROVIDER | 1912982893 | 01 |
| MO | BCBS PROVIDER | 24206013 | 01 |
| MO | 498635705 | 05 | |
| MO | COMMUNITY HEALTH PLAN PRO | 10001042101 | 01 |
| Other Name | Type Code |
|---|---|
| Kenneth Thom | Former Legal Business Name - Organization |
| Street Address |
515 W COOPER |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558738559 | Dustin James Harvey | Counselor | 1048 Willow Creek Cir, Maryville, TN 37804-3569 | 2015-08-25 |
| 1942270277 | Kristen Annette Peltz | Counselor | 2416 S Main St, Maryville, MO 64468-3624 | 2006-01-26 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1063030278 | Stephanie Moncrief | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-07-14 |
| 1689292567 | Rachelle Leigh Bennett Baker | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-07-08 |
| 1093330037 | Bryon Edward Hart | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-06-16 |
| 1326679721 | Hillary Stephens Hays | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-02-04 |
| 1558992768 | Becki Grace Livingston | Counselor | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-01-28 |
| 1699316877 | Terry Glenn | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2019-09-30 |
| 1750936639 | Lauren Ashley Erdman | Counselor | 1012 E Lamar Alexander Pkwy, Maryville, TN 37804-5132 | 2019-08-07 |
| Find all providers in MARYVILLE | ||||
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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.