Mark E Wardlow Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016014454 Issued in MO

Practice address

5536 Highway 32
Farmington, MO 63640-7357

Phone

(573) 756-5749

NPI assigned

Nov 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: markwardlow@tdh.allscriptsdirect.net

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.

• Southeast Missouri Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Farmington, MO
  • NPI 1982875407
  Medicare reassignment NPD
• Advanced Counseling Solutions, LLC

  • Professional Counselor
  • Farmington, MO
  • NPI 1972129179
  NPD Authorized official
• Elevated Care Mo

  • Behavior Technician
  • Farmington, MO
  • NPI 1861264863
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD
• Southeast Missouri Behavioral Health

  • Adult Mental Health Clinic/Center
  • Farmington, MO
  • NPI 1144372517
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1942544630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 HIGHWAY 32",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407357",
            "telephone_number": "573-756-5749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10048 Settle Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Cadet",
            "state": "MO",
            "postal_code": "636309288",
            "country_code": "US",
            "telephone_number": "573-438-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 E Green St",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "MO",
            "postal_code": "639571248",
            "country_code": "US",
            "telephone_number": "573-223-2734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1597 N Highway 63",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "65483",
            "country_code": "US",
            "telephone_number": "417-967-2887",
            "fax_number": "573-756-7451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 Warrior Ln",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639018686",
            "country_code": "US",
            "telephone_number": "573-785-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636403345",
            "country_code": "US",
            "telephone_number": "573-664-1629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Kingshighway St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012981",
            "country_code": "US",
            "telephone_number": "573-364-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 3rd St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Steelville",
            "state": "MO",
            "postal_code": "655655054",
            "country_code": "US",
            "telephone_number": "833-299-8788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 N Grand St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MO",
            "postal_code": "655601344",
            "country_code": "US",
            "telephone_number": "573-729-4103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDLOW",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016014454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Renne Wallen, PSY.D.
• Sheila Estelle Walton
• Miranda Wampler
• Breah Wheeler Ward, PLPC
• Lois E Ward, DC
• Sarah Ware, PN
• Kyle F Warren, MD
• Washington County Memorial Hospital
• Washington University School of Medicine
• Whitney Watts

• Professional Counselor in Farmington, MO
• Providers in Farmington, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.