CHARLISA MARTRELL STARK (NPI# 1902931447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902931447 |
| Entity Type | Individual |
| Full Name | CHARLISA MARTRELL STARK |
| Other Name | LISA MARTRELL STARK |
| Credential | PLPC |
| Practice Address |
108 W Jasper St Versailles MO 65084-1020 |
| Mailing Address |
18 Puckett Rd Eldon MO 65026-4634 |
| Practice Telephone | 5733786833 |
| Mailing Telephone | 5732805065 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2006033184 | MO | Behavioral Health & Social Service Providers |
| Street Address |
108 W JASPER ST |
| City | VERSAILLES |
| State | MO |
| Zip Code | 65084-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954864 | Steven J Adelman | Psychologist | 108 W Jasper St, Versailles, MO 65084-1020 | 2005-12-29 |
| 1013226943 | Shirley Joan Watkins | Psychologist | 108 W Jasper St, Versailles, MO 65084-1020 | 2010-09-27 |
| 1174850374 | Trisha Robinson | Counselor | 108 W Jasper St, Versailles, MO 65084-1020 | 2009-11-09 |
| 1689773335 | Adelman & Associates, Inc | Psychologist | 108 W Jasper St, Versailles, MO 65084-1020 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1053694422 | Regional Health Care Clinic, Inc | Clinic/Center | 1109 Clay Rd., Versailles, MO 65084 | 2011-09-22 |
| 1912133323 | Ida Mae Suttmoller | Counselor | 108 West Jasper, Versailles, MO 65084 | 2009-06-01 |
| 1649453408 | Kidwell Home | Assisted Living Facility | 1000 Kidwell Drive, Versailles, MO 65084 | 2007-12-14 |
| 1558480640 | Diana Moree Burdick | Nurse Practitioner | 102 North Fisher, Versailles, MO 65084 | 2007-03-28 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1275570863 | Doris Elliott | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2006-06-01 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1659356731 | Nora Stephan Appelbaum | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084 | 2005-12-12 |
| Find all providers in zip 65084 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962825638 | Eugene Mayes | Counselor | 2050 Lexington Rd, Versailles, KY 40383-1738 | 2014-01-30 |
| 1003174111 | Heather Godwin Kirkland | Counselor | 4185 Lexington Rd, Versailles, KY 40383-1736 | 2012-04-26 |
| 1376752972 | James Edward Rayburn | Counselor | 141 S Hill Rd, Versailles, KY 40383-1394 | 2007-05-21 |
| 1346733516 | Raven Brooke Eckhoff | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2018-06-12 |
| 1255751269 | Matthew Fowler | Counselor | 220 Frankfort St Ste 1, Versailles, KY 40383 | 2014-04-17 |
| 1174850374 | Trisha Robinson | Counselor | 108 W Jasper St, Versailles, MO 65084-1020 | 2009-11-09 |
| 1649440389 | Shawn E Keenan | Counselor | 125b Big Sink Rd, Versailles, KY 40383-1558 | 2008-03-10 |
| 1326193160 | Amber Kristin Hord-helme | Counselor | 220 Frankfort St Ste 1, Versailles, KY 40383 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1225637838 | Summer Lynn Mcgowan | Counselor | 12040 Southern Breeze, Dexter, MO 63841-2890 | 2020-10-23 |
| 1578162434 | Laquesha Boston | Counselor | 14463 Gravelle Ln, Florissant, MO 63034-2209 | 2020-10-21 |
| 1013515725 | Tim Gravier | Counselor | 770 Aramis Dr, Creve Coeur, MO 63141-7309 | 2020-10-14 |
| 1790383651 | Oasis Counseling and Enrichment | Counselor | 201 Main St Ste 9, Parkville, MO 64152-3645 | 2020-10-13 |
| 1912505082 | Rebekah Sue Weidenaar | Counselor | 503 W Reed St, Moberly, MO 65270-1509 | 2020-10-12 |
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1679170971 | Avery C Lough | Counselor | 627 E Springfield St, Saint James, MO 65559-1655 | 2020-10-08 |
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 65084 |
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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.