MARY LUNDERGAN (NPI# 1619348281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619348281 |
| Entity Type | Individual |
| Full Name | MARY LUNDERGAN |
| Credential | PLPC |
| Practice Address |
410a Se 3rd St Lees Summit MO 64063-2836 |
| Mailing Address |
617 Se Athens Dr Lees Summit MO 64063-1069 |
| Practice Telephone | 8165005936 |
| Mailing Telephone | 8165005936 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2015034344 | MO | Behavioral Health & Social Service Providers |
| Street Address |
410A SE 3RD ST |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518345685 | Janet Lowrey | Social Worker | 410a Se 3rd St, Suite 101, Lees Summit, MO 64063-2836 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503901 | Janelle Cowles | Counselor | 520 Se Brentwood Dr, Lees Summit, MO 64063-4419 | 2020-03-18 |
| 1255970018 | Leah Krieger | Counselor | 211 Nw Executive Way Ste D, Lees Summit, MO 64063-1846 | 2019-12-26 |
| 1497234157 | Marissa Lynn Ebeling | Counselor | 1555 Ne Rice Rd Ste C, Lees Summit, MO 64086-5810 | 2018-08-13 |
| 1194204537 | Aubrey Leah Corona | Counselor | 529 Se 2nd St # Streetd, Lees Summit, MO 64063-2694 | 2018-08-07 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1285132696 | Amber Utter Counseling LLC | Counselor | 9220 Cyclone School Rd, Lees Summit, MO 64064-2611 | 2018-01-31 |
| 1235680968 | Kali Keilbey | Counselor | 600 Nw Murray Rd Ste 110, Lees Summit, MO 64081-1238 | 2016-10-18 |
| 1467909796 | Amber Utter | Counselor | 656 Se Bayberry Ln Ste 105, Lees Summit, MO 64063-4300 | 2016-09-02 |
| 1386010601 | Valerie Bailey Hamaker | Counselor | 2421 Ne Lake Breeze Dr, Lees Summit, MO 64086-7066 | 2015-08-20 |
| 1811382914 | Jenna Foraker,lpc, LLC | Counselor | 202 Se 2nd St, Lees Summit, MO 64063-2750 | 2015-04-06 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
Please comment or provide details below to improve the information on MARY LUNDERGAN.
| 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.