MARY KATHLEEN PATTERSON LPC NPI 1225240104

Counselor (Professional) in Cape Girardeau, MO

NPI 1225240104 Individual Female Counselor Professional

About MARY PATTERSON

Mary Patterson is a provider established in Cape Girardeau, Missouri and her medical specialization is counselor (professional) . The NPI number of Mary Patterson is 1225240104 and was assigned on May 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 001756 (MO). The provider is registered as an individual and her NPI record was last updated 15 years ago.

Mary Patterson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1225240104

Provider Name MARY KATHLEEN PATTERSON LPC
Provider Location Address2751 THOMAS DR CAPE GIRARDEAU, MO 63701
Provider Mailing Address2751 THOMAS DR CAPE GIRARDEAU, MO 63701
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-04-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.001756
License StateMO

Business Address

MARY KATHLEEN PATTERSON LPC
2751 THOMAS DR
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-2889
Fax: (573) 651-9152

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Mailing Address

MARY KATHLEEN PATTERSON LPC
2751 THOMAS DR
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-2889
Fax: (573) 651-9152



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
206955OTHER (01)MO

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003028960MRS. DIANA MARIE HAROLD LCSW
Individual
Counselor (Mental Health)2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
(573) 334-2889
1437361367MRS. DENISE E. ESSNER LCSW
Individual
Counselor (Mental Health)2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
(573) 334-2889
1316159114 KENNETH E CALLIS PHD
Individual
Psychologist (Cognitive & Behavioral)2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
(573) 334-2889
1093309023 GRETCHIN DALE EMRICK APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
(573) 334-3486

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.