Active NPI
Jennifer Juanita Marks-Foster, PSYD
- Clinical Psychologist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1225289721
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1225289721 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Mindfulness and CBT, LLC | Current | Accepting new patients | |
| Affinia Healthcare | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1902816077
-
- Cognitive & Behavioral Psychologist
- Saint Louis, MO
- NPI 1013267392
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1013925890
-
- Cognitive & Behavioral Psychologist
- Saint Louis, MO
- NPI 1154241271
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.