Jerilie Marshall, LPC, MS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2011004232 Issued in MO

Practice address

860 Lynn St
Lebanon, MO 65536

Phone

(888) 403-1071

NPI assigned

Feb 3, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jerilie Deguire Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1013289198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 LYNN ST",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "65536",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JERILIE",
        "name_prefix": "Ms.",
        "credential": "LPC, MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011004232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERILIE",
            "last_name": "DEGUIRE",
            "credential": "PLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathaniel Micah Littman, D.C.
• Jessica Locke, APRN
• Rebecca Lynn Lohr, L.P.C.
• Susan Love, CRNA
• Allie M Marshall, LCSW
• Lisa J Martin-Leckenby, LCSW
• Stephanie Suzanne Martin, LPC
• Mary Diane Johnson TMD Outlet
• Karissa Massey
• Curtis D Mather, DO

• Mental Health Counselor in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.