Cheryl Ann Mark, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005007633 Issued in MO

Practice address

3601 NE Ralph Powell Road
Suite C
Lee's Summit, MO 64064

Phone

(816) 810-7790

NPI assigned

May 10, 2007

Last updated

Apr 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1740494426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 NE MAPLEGATE DRIVE",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-916-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL ROAD",
            "address_2": "SUITE C",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-810-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005007633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "NOT ISSUED YET",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37737016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "37737016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda G Manville, MS
• Sarah Veridiana March, OTR
• William Matthew March, OTR,CHT
• Lisa Marin, LCSW
• Mark E. Hartter, D.D.S., P.C.
• Bethany Markham, RBT
• Diane K Marnholtz
• Carl Stanley Marr, PSYCHOLOGIST
• Kazz Michael Marsey, PA
• Elise Nicole Marshall, LMSW

• Professional Counselor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.