MARCELLIS DOMINIQUE WASHINGTON (NPI# 1639780828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639780828 |
| Entity Type | Individual |
| Full Name | MARCELLIS DOMINIQUE WASHINGTON |
| Practice Address |
8010 N Elmwood Ave Kansas City MO 64119-8600 |
| Practice Telephone | 8167693845 |
| Mailing Telephone | 8167693845 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1427526466 | 05 |
| Street Address |
8010 N ELMWOOD AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64119-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104289339 | Dereck Dean | Social Worker | 8010 N Elmwood Ave, Kansas City, MO 64119-8600 | 2016-04-04 |
| 1427526466 | Nobility Group, LLC | Social Worker | 8010 N Elmwood Ave, Kansas City, MO 64119-8600 | 2018-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1528525219 | Lifestreams, LLC | Home Health | 5229 Ne 56th Place, Kansas City, MO 64119 | 2019-02-28 |
| 1740639798 | Daniel Sucher | Dentist | 5416 Ne Antioch Rd, Kansas City, MO 64119 | 2016-06-10 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1376929976 | Abigail Blair | Physical Therapist | 8121 Ne 69 Highway, Kansas City, MO 64119 | 2015-08-05 |
| 1508273939 | Morgan Shockey | Dentist | 244 E Us Hwy 69, Ste 101, Claycomo, MO 64119 | 2014-07-17 |
| 1184865990 | Laura F Hanna | Psychologist | 3100 Ne 83rd Street, Suite#1001, Kansas City, MO 64119 | 2009-03-09 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1356533194 | Levelup Kids, Inc. | Optometrist | 5416 Ne Antioch Road, Kansas City, MO 64119 | 2007-08-15 |
| 1275738932 | Renee Christine Springer | Physical Therapist | 2901 Ne 72nd St, Gladstone, MO 64119 | 2007-06-20 |
| Find all providers in zip 64119 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642806 | Monique Young | Counselor | 2901 Troost Ave, Kansas City, MO 64109-1538 | 2020-05-29 |
| 1578685467 | Lisa C Schmidt | Counselor | 800 S 55th St, Kansas City, KS 66106-1308 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780887455 | Marilyn J Firestone | Counselor | 8157 Kingsbury Blvd, Saint Louis, MO 63105-3705 | 2007-06-08 |
| 1962512459 | David Gerard Boland | Counselor | 233 N New Ballas Rd, Creve Coeur, MO 63141-7530 | 2006-08-30 |
| 1356952725 | Nicholas Heller | Counselor | 1550 Derhake Rd, Florissant, MO 63033-6416 | 2020-08-11 |
| 1710524145 | Martha A Gray | Counselor | 5279 Fyler Ave, Saint Louis, MO 63139-1300 | 2019-12-04 |
| 1912474933 | Mona Hunt | Counselor | 21 Municipal Dr, Arnold, MO 63010-1012 | 2018-10-29 |
| 1598250045 | Nichole Angieri | Counselor | 3250 Hampton Ave, Saint Louis, MO 63139-2379 | 2018-06-27 |
| 1851814644 | Mattalue Ellis | Counselor | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3209 | 2017-07-24 |
| 1144750936 | Julia Dooley | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2017-06-14 |
| 1811449275 | Kimberly Jackson | Counselor | 11960 Westline Industrial Dr, Ste 201, Saint Louis, MO 63146-3209 | 2016-11-01 |
| 1578808531 | Tamra Susan Fauss | Counselor | 343 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6195 | 2012-12-03 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64119 |
Please comment or provide details below to improve the information on MARCELLIS DOMINIQUE WASHINGTON.
| 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.