Active NPI
Mary Kathleen Patterson, LPC
- Professional Counselor
- Cape Girardeau, MO
National Provider Identifier
1225240104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001756
- Practice address
- 2751 Thomas Dr
Cape Girardeau, MO 63701-2131 - Phone
- (573) 334-2889
- Fax
- (573) 651-9152
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001756 | MO | Primary |
Addresses
Primary practice location
2751 Thomas Dr
Cape Girardeau, MO 63701-2131
Mailing address
2751 Thomas Dr
Cape Girardeau, MO 63701-2131
Phone (573) 334-2889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206955 | Other | MO | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001756 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denise Essners & Associates | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225240104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 THOMAS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012131",
"telephone_number": "573-334-2889",
"fax_number": "573-651-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 THOMAS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012131",
"telephone_number": "573-334-2889",
"fax_number": "573-651-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "001756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "206955",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.