LINDA MEDLOCK (NPI# 1568461291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568461291 |
| Entity Type | Individual |
| Full Name | LINDA MEDLOCK |
| Other Name | LINDA GILL |
| Credential | LPC |
| Practice Address |
1023 Executive Parkway Dr Ste 8 Saint Louis MO 63141-6323 |
| Practice Telephone | 3148788855 |
| Practice Fax Number | 3144342331 |
| Mailing Telephone | 3148787755 |
| Mailing Fax Number | 3144342331 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
001986 | MO | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
001986 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1023 EXECUTIVE PARKWAY DR STE 8 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081255 | Margaret Fay | Counselor | 1023 Executive Parkway Dr, Saint Louis, MO 63141-6323 | 2017-05-24 |
| 1760837561 | Samantha Schlepphorst | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2016-04-28 |
| 1699133710 | Robert Gordon, LLC | Community/Behavioral Health | 1023 Executive Parkway Dr, Suite 5, Saint Louis, MO 63141-6323 | 2016-02-03 |
| 1336515493 | Kathleen Karigan | Counselor | 1023 Executive Parkway Dr, Saint Louis, MO 63141-6323 | 2015-08-12 |
| 1841535770 | Steven M Dalbey | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2012-12-04 |
| 1255695250 | Serco Holdings, Inc | In Home Supportive Care | 1023 Executive Parkway Dr, Suite 18, Saint Louis, MO 63141-6323 | 2012-06-25 |
| 1376878835 | Elizabeth Ann Hubbard | Counselor | 1023 Executive Parkway Dr, Suite 8, Saint Louis, MO 63141-6323 | 2009-10-16 |
| 1033341334 | David T Koch | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2009-08-20 |
| 1164687000 | Leslie Fisher Bley | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2008-07-21 |
| 1477728400 | Crossroads Christian Counseling | Counselor | 1023 Executive Parkway Dr, Suite 10, Saint Louis, MO 63141-6323 | 2008-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1508475534 | Elizabeth (lisa) Pullen Will-smith | Counselor | 6649 Hoffman Ave, Saint Louis, MO 63139-2546 | 2020-07-27 |
| 1689297970 | Joy Montrice Camp | Counselor | 1126 N 16th St, Saint Louis, MO 63106-3736 | 2020-05-21 |
| 1568084622 | Amy Turk | Counselor | 701 Luckystone Ave, Saint Louis, MO 63122-3245 | 2020-05-12 |
| 1588285647 | Jesse Sieger-walls | Counselor | 32 Bellerive Acres, Saint Louis, MO 63121-4321 | 2020-04-29 |
| 1265061394 | Victoria Kyles | Counselor | 124 Forestwood Dr, Saint Louis, MO 63135-2827 | 2020-04-01 |
| 1790312528 | Sarah Williford | Counselor | 8420 Delmar Blvd Ste 301, Saint Louis, MO 63124-2178 | 2020-03-23 |
| 1033745005 | Casey Robert Thompson | Counselor | 600 Buckley Rd, Saint Louis, MO 63125-5303 | 2020-03-20 |
| 1891328613 | Jessica Kay Dowling | Counselor | 3008 Sutton Blvd Ste 200, Saint Louis, MO 63143-3064 | 2020-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on LINDA MEDLOCK.
| 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.