Individual provider Active NPI

Mary P Esswein, LCSW

  • Counselor
  • Perryville, MO
National Provider Identifier
1598871709
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2000149479 Issued in MO
Practice address
17 E Saint Joseph St
Perryville, MO 63775-2016
Phone
(573) 547-4553
NPI assigned
Aug 21, 2006
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2000149479 MO Primary

Addresses

Primary practice location

17 E Saint Joseph St
Perryville, MO 63775-2016

Mailing address

20 S West St
Perryville, MO 63775-2547
Phone (573) 547-8757

Other practice location 1

12 N Kingshighway
Perryville, MO 63775
Phone (573) 547-3116

Other practice location 2

220 W Argonne Dr Ste T
Kirkwood, MO 63122-4240
Phone (573) 768-0405

Other identifiers 2

IdentifierTypeStateIssuer
128547OtherMOBLUE CROSS
494977903MedicaidMO

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
I20070405000094 MO Practitioner - Clinical Social Worker 6901900646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians
2Btraumafree LLCGroup PAC ID 8224473996, 2 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

17 W Saint Joseph St
Perryville, MO 63775-1344
Phone (573) 768-0405

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000149479MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Current Accepting new patients
Mercy Hospital Perry CurrentSince Nov 1, 2023 Accepting new patients
Mercy Clinic Adult Psychiatry, LLC CurrentSince Jan 1, 2024 Accepting new patients
John G. Esswein, DDS, LLC PastSince Jan 7, 2024 Accepting new patients

Locations

212 Hospital Ln
Ste 101
Perryville, MO 63775
Phone (573) 547-7888

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

Organizations & group practices 5

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1598871709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S WEST ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752547",
            "telephone_number": "573-547-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E SAINT JOSEPH ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752016",
            "telephone_number": "573-547-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 N KINGSHIGHWAY",
            "address_purpose": "LOCATION",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63775",
            "country_code": "US",
            "telephone_number": "573-547-3116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W Argonne Dr Ste T",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631224240",
            "country_code": "US",
            "telephone_number": "573-768-0405",
            "fax_number": "573-517-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSWEIN",
        "first_name": "MARY",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2000149479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "128547",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494977903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

Verify at the official NPI Registry.