Individual provider Active NPI

Kristin L Marquez, LPC

  • Professional Counselor
  • Saint Joseph, MO
National Provider Identifier
1033595079
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015026811 Issued in MO
Practice address
902 Edmond St
Suite 203
St. Joseph, MO 64501-2762
Phone
(816) 364-4300
Fax
(816) 279-8148
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015026811 MO Primary

Addresses

Primary practice location

902 Edmond St
Suite 203
St. Joseph, MO 64501-2762

Mailing address

902 Edmond St
Suite 203
St. Joseph, MO 64501-2762
Phone (816) 364-4300

Other names 1

  • Kristin L Stewart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2015026811MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Healing Counseling, Inc. Current Accepting new patients
Wings of Harmony Counseling, LLC Professional Current Accepting new patients
Samaritan Counseling Center Inc. Professional CurrentSince Jul 27, 2020 Accepting new patients

Locations

902 Edmond St
Ste 203
Saint Joseph, MO 64501
Phone (816) 279-4583

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1033595079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST",
            "address_2": "SUITE 203",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645012762",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST",
            "address_2": "SUITE 203",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645012762",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015026811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "STEWART",
            "middle_name": "L",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.