Marsha J Ivester

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16090 Issued in MO

Practice address

4218 North Grand Blvd
St. Louis, MO 63107-1952

Phone

(314) 534-6624

Fax

(314) 535-4394

NPI assigned

Mar 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Marsha J Miles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rosati Group Home

  • Case Manager/Care Coordinator
  • Saint Louis, MO
  • NPI 1962379073
  NPD (past)
• St. Patrick Center

  • Case Management Agency
  • Saint Louis, MO
  • NPI 1679025290
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1801162474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 N GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071806",
            "telephone_number": "313-534-6624",
            "fax_number": "314-535-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 NORTH GRAND BLVD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631071952",
            "telephone_number": "314-534-6624",
            "fax_number": "314-535-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVESTER",
        "first_name": "MARSHA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "16090",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "MILES",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "CRADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Iver, ATC, LAT
• Whittney Renae Iver, FNP
• Jennifer J Iverson, ED.S., LPC, RPT
• Kimberly Susan Iverson, MT-BC
• Virginia A Ives, LCSW, MSW,ACSW MAED,
• David M Ivey, DDS
• Samuel James Ivey, PHARM.D.
• Danielle Buchanan Ivie, DPT
• Eriuhn Ivory
• Krystal Ivory

• Addiction (Substance Use Disorder) Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.