Organization Active NPI

Mary E Harper

  • Marriage & Family Therapist
  • Saint Louis, MO
National Provider Identifier
1548361884
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2004028644 Issued in MO
Legal business name
MARY E HARPER
Practice address
1066 Executive Parkway Dr Ste 103
Saint Louis, MO 63141-6340
Phone
(314) 265-9424
Fax
(888) 331-0726
NPI assigned
Sep 26, 2006
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Ms. Mary E. Harper, MSNPI 1407972250
Title
Therapist
Phone
(314) 265-9424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2004009546 MO
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 2004028644 MO Primary

Addresses

Primary practice location

1066 Executive Parkway Dr Ste 103
Saint Louis, MO 63141-6340

Mailing address

1066 Executive Parkway Dr Ste 103
Saint Louis, MO 63141-6340
Phone (314) 265-9424

Other identifiers 1

IdentifierTypeStateIssuer
490524808MedicaidMO

National Provider Directory

National Provider Directory

Locations

1066 Executive Parkway Dr
Ste 103
Saint Louis, MO 63141
Phone (314) 265-9424

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1548361884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 EXECUTIVE PARKWAY DR STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416340",
            "telephone_number": "314-265-9424",
            "fax_number": "888-331-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 EXECUTIVE PARKWAY DR STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416340",
            "telephone_number": "314-265-9424",
            "fax_number": "888-331-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E HARPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "314-265-9424",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004009546",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2004028644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490524808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 2008; 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.