MARY C OBOWA (NPI# 1902893589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902893589 |
| Entity Type | Individual |
| Full Name | MARY C OBOWA |
| Credential | LPC |
| Practice Address |
12141 Ladue Rd Saint Louis MO 63141-8120 |
| Practice Telephone | 3143361097 |
| Practice Fax Number | 3148784524 |
| Mailing Telephone | 3143361097 |
| Mailing Fax Number | 3148784524 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| X | 101YP2500X |
Counselor Specialization: Professional |
CS001545 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 118671 | 01 |
| Street Address |
12141 LADUE RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936302 | Shayna Warner | Social Worker | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2020-06-12 |
| 1497378509 | Emily Klamer | Counselor | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2020-05-22 |
| 1427566256 | Robert Clayton Coffee | Counselor | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2018-01-15 |
| 1932640455 | Diane Chandler Riddlespriger | Counselor | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2017-03-16 |
| 1821530692 | Carol Miller | Counselor | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2016-11-10 |
| 1962951319 | Heather Desmond | Counselor | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2016-09-27 |
| 1780137067 | Teresa Marie Morr-jones | Marriage & Family Therapist | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2016-08-03 |
| 1114353430 | Sarah Goldman | Social Worker | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2013-09-18 |
| 1942591169 | Brooke Hanna Justis | Social Worker | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2011-04-21 |
| 1457590242 | Julia Marie Pickup | Social Worker | 12141 Ladue Rd, Saint Louis, MO 63141-8120 | 2009-02-18 |
| 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 | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376166462 | Deondra Davis | Counselor | 6428 Brockschmidt Pl, Saint Louis, MO 63139-3402 | 2020-05-22 |
| 1770003956 | Grace Tsoka | Counselor | 4167 Crescent Dr Ste 201, Saint Louis, MO 63129-3643 | 2017-06-20 |
| 1780892489 | Mark Lee Robinson | Counselor | 6454 Alamo Ave, Suite 2e, Saint Louis, MO 63105-3155 | 2007-05-18 |
| 1659427599 | Allen E Schenk | Counselor | 1011 Theobald St, Saint Louis, MO 63147-1922 | 2007-01-25 |
| 1548777618 | The Good Shepherd Organization | Counselor | 3149 Meramec St, Saint Louis, MO 63118-4338 | 2018-01-10 |
| 1538586318 | Mary Jo Schneller | Counselor | 315 Lemay Ferry Rd, Suite 132, Saint Louis, MO 63125-1501 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023780 | Dr. Darryl Eugene Calmese Sr. | Counselor | 5323 Branridge Rd, Black Jack, MO 63033-7303 | 2020-01-29 |
| 1184103947 | Kevin Dwayne Britton Sr. | Counselor | 751 E 63rd St # 209, Kansas City, MO 64110-3385 | 2018-08-11 |
| 1659829927 | Dawn Newlan | Counselor | 7370 Marten Rd, Neosho, MO 64850-6581 | 2016-09-15 |
| 1740624311 | Quinci Williams | Counselor | 743 W Riverside St, Springfield, MO 65807-4658 | 2013-04-25 |
| 1194065615 | Robert Anthony Rost | Counselor | 553 Lake Viking Ter, Gallatin, MO 64640-8352 | 2013-02-20 |
| 1417293499 | Willie James Curry | Counselor | 571 Old Route 66, Saint Robert, MO 65584 | 2012-12-20 |
| 1043554934 | Eric Joseph Staples | Counselor | 400 S Sunshine St, Branson, MO 65616-2518 | 2012-11-16 |
| 1104101526 | Robert D Newman | Counselor | 900 Corporate Pkwy, Ste 106, Wentzville, MO 63385-4822 | 2011-10-17 |
| 1891976254 | Jared Philip Pingleton | Counselor | 2527 State Highway 248, Branson, MO 65616-9240 | 2007-11-14 |
| 1841493434 | Richard Lee Wells | Counselor | 120 Brooks St Apt 17, Licking, MO 65542-8031 | 2007-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MARY C OBOWA.
| 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.