MRS. LINDA ANN BOGUE (NPI# 1821422502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821422502 |
| Entity Type | Individual |
| Full Name | MRS. LINDA ANN BOGUE |
| Other Name | MISS LINDA ANN PEARCE |
| Practice Address |
2919 E 4th St Joplin MO 64801-1625 |
| Mailing Address |
12114 David Ln Joplin MO 64804-8308 |
| Practice Telephone | 4177827966 |
| Practice Fax Number | 4176244558 |
| Mailing Telephone | 4177817768 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1215 | MO | Behavioral Health & Social Service Providers |
| Street Address |
2919 E 4TH ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144666264 | Vcphcs Xv, LLC | Clinic/Center | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-05-15 |
| 1164089413 | Theresa Kay Burwick | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2019-05-22 |
| 1124511217 | Ashley Bennett | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2018-06-13 |
| 1891140810 | Daniel Bingham | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2016-04-27 |
| 1821422460 | Michael Peterman | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-30 |
| 1710311493 | Shelia Diane Howe | Licensed Practical Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1104250885 | Gary Jamett | Licensed Practical Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1073947859 | Christopher Sampson | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-28 |
| 1134553191 | Valery Jean Slaton | Registered Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588951651 | Sue Ellen Dawson | Counselor | 302 S Florida Ave, Joplin, MO 64801-1650 | 2011-07-08 |
| 1164635322 | Tri Star Counseling, Inc. | Counselor | 712 E 32nd St, Ste 1, Joplin, MO 64804-3906 | 2007-05-07 |
| 1851429294 | Spencer L Ellis | Counselor | 2808 S. Picher St., Joplin, MO 64803 | 2007-02-28 |
| 1033293485 | Michael Simon Londe | Counselor | 712 E 32nd St Ste 1, Joplin, MO 64804-3968 | 2006-10-24 |
| 1164089413 | Theresa Kay Burwick | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2019-05-22 |
| 1124511217 | Ashley Bennett | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2018-06-13 |
| 1891140810 | Daniel Bingham | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2016-04-27 |
| 1073947859 | Christopher Sampson | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-28 |
| 1821200775 | Teresa Frey | Counselor | 1230 N Duquesne Rd, Joplin, MO 64801-1509 | 2007-05-04 |
| 1437283835 | Stephen Craig Summers | Counselor | 305 S Virginia Ave, Joplin, MO 64801-2323 | 2007-03-15 |
| Find all providers in JOPLIN | ||||
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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.