MR. ALEXANDER MARK PROROK (NPI# 1598742777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598742777 |
| Entity Type | Individual |
| Full Name | MR. ALEXANDER MARK PROROK |
| Credential | LPC |
| Practice Address |
3670 County Road 4990 Willow Springs MO 65793-0506 |
| Practice Telephone | 4174692951 |
| Mailing Telephone | 4174692951 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2002032260 | MO | Behavioral Health & Social Service Providers |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 2002032260 | MO | Agencies |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2002032260 | MO | Residential Treatment Facilities |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
2002032260 | MO | Nursing Service Related Providers |
| N | 385H00000X | Respite Care | 2002032260 | MO | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 858342603 | 05 | |
| MO | 498342609 | 05 |
| Street Address |
3670 COUNTY ROAD 4990 |
| City | WILLOW SPRINGS |
| State | MO |
| Zip Code | 65793-0506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1023439403 | Lori Pendergrass | Occupational Therapy Assistant | 910 Springfield Rd, Willow Springs, MO 65793 | 2014-01-02 |
| 1912151960 | Matthew Eugene Mansfield | Dentist | 2729 State Route 76 West, Willow Springs, MO 65793 | 2008-11-04 |
| 1407950520 | Lester E Cox Medical Centers | Family Medicine | 816 E Main, Willow Springs, MO 65793 | 2006-09-11 |
| 1972771657 | Mercy Clinic Springfield Communities | Family Medicine | 1202 E Main St, Willow Springs, MO 65793 | 2008-02-14 |
| 1366443913 | Willow Health Care Inc | Home Health | 2642 State Route 76, Willow Springs, MO 65793-0000 | 2005-08-04 |
| 1548341019 | Laura Louise Curtis | Counselor | 2695 Sr U, Willow Springs, MO 65793-0631 | 2006-10-18 |
| 1629125000 | Aldyth R Huston | Occupational Therapist | 215 W 4th St, Willow Springs, MO 65793-1118 | 2007-01-05 |
| Find all providers in zip 65793 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851684625 | Stephen M Wright | Counselor | 8615 Liberty Grove Dr., Willow Springs, IL 60480 | 2011-05-26 |
| 1548341019 | Laura Louise Curtis | Counselor | 2695 Sr U, Willow Springs, MO 65793-0631 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1922606375 | Dana M. Powell and Associates, LLC | Counselor | 1108 Valentine St, Festus, MO 63028-1254 | 2020-10-16 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1720685787 | Patricia Ann Katzfey | Counselor | 1605 Baxter Forest Ridge Ct, Chesterfield, MO 63005-4660 | 2020-10-02 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1871100834 | Curtis Lee Cook | Counselor | 412 Washington Ave, West Plains, MO 65775-3432 | 2020-09-24 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1023623816 | Hannah Rachelle Tinnin | Counselor | 209 N Cowling St, Desloge, MO 63601-3132 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRINGS |
| Zip Code | 65793 |
Please comment or provide details below to improve the information on MR. ALEXANDER MARK PROROK.
| 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.