Elevated Care Mo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

ELEVATED CARE MO

Practice address

764 Weber Rd
Farmington, MO 63640-3317

Phone

(573) 664-1326

Fax

(573) 664-1328

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Wardlow Jr., LPC, CCDP-D, MARSNPI 1942544630

Title

Ceo

Phone

(573) 664-1326

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mark E Wardlow Jr., LPC

  • Professional Counselor
  • Farmington, MO
  • NPI 1942544630
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1861264863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403317",
            "telephone_number": "573-664-1326",
            "fax_number": "573-664-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403317",
            "telephone_number": "573-664-1326",
            "fax_number": "573-664-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED CARE MO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "WARDLOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-664-1326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC, CCDP-D, MARS"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Duron
• Aubree Earnest, PHARMD
• Jennifer Eaton
• Carmen Elders
• Felecia Elders
• Charles Justus Elkington, DMD
• Kehaunani Elliott
• Blaine G Elsenraat, MPT
• Beth A Elser
• Shaylyn Renee Emanuel, FNP

• Behavior Technician in Farmington, MO
• Providers in Farmington, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.