Individual provider Active NPI

Jennifer Juanita Marks-Foster, PSYD

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1225289721
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1225289721 Issued in MO
Practice address
2220 Lemp Ave
Saint Louis, MO 63104-2700
Phone
(314) 814-8777
Fax
(314) 776-3362
NPI assigned
Oct 2, 2008
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1225289721 MO Primary

Addresses

Primary practice location

2220 Lemp Ave
Saint Louis, MO 63104-2700

Mailing address

107 Marsala CT
Florissant, MO 63031-8620
Phone (314) 724-9187

Other practice location 1

10845 Olive Blvd
Saint Louis, MO 63141-7760
Phone (314) 326-7811

Other names 1

  • Dr. Jennifer Juanita Marks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120001125 MO Practitioner - Clinical Psychologist 5294092698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10845 Olive Blvd
Suite 150
Creve Coeur, MO 63141-7760

110 Front St
Suite 300
Jupiter, FL 33477-5095

1717 Biddle
Saint Louis, MO 63106-3454

PO Box
Suite 551
Saint Louis, MO 63188-0551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1225289721MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Mindfulness and CBT, LLC CurrentSince Nov 14, 2017 Accepting new patients
Affinia Healthcare CurrentSince Jan 10, 2018 Accepting new patients
Affinia Healthcare Current Accepting new patients
The Center for Mindfulness and CBT, LLC Past Accepting new patients

Locations

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

967 Gardenview Office Pkwy
Saint Louis, MO 63141
Phone (314) 561-9757

Organizations & group practices 4

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1225289721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MARSALA CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318620",
            "telephone_number": "314-724-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LEMP AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042700",
            "telephone_number": "314-814-8777",
            "fax_number": "314-776-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10845 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631417760",
            "country_code": "US",
            "telephone_number": "314-326-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS-FOSTER",
        "first_name": "JENNIFER",
        "middle_name": "JUANITA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "1225289721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARKS",
            "middle_name": "JUANITA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.