MARLENA HATHAWAY LPC
NPI 1952910671
Counselor in Saint Charles, MO

Q: What is Marlena Hathaway's NPI number?

The NPI number for Marlena Hathaway is 1952910671. It was assigned to this individual provider in the NPPES registry on July 28, 2020. The provider is also known as Marlena Holmes Lpc.

Q: What is Marlena Hathaway's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Marlena Hathaway was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2020PECOS Enrolled

102 COMPASS POINT DR, SAINT CHARLES, MO 63301(844) 853-8937 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2022, Jul 28, 2020 (2 updates tracked since 2020).

On this page

About Marlena Hathaway Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENA HATHAWAY LPC (NPI 1952910671) is an individual counselor in Saint Charles, Missouri, licensed in Missouri (2018011004) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Collinsville.

NPPES Registry Identity

NPI1952910671

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMARLENA HATHAWAYCredential: LPC

Location Address102 COMPASS POINT DRSaint Charles, MO 63301-4404

Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131

Phone(844) 853-8937

Sole ProprietorYes

Enumeration DateJuly 28, 2020

Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1952910671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MO · 2018011004

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2018011004 (MO)

102 COMPASS POINT DR, Saint Charles, MO 63301

Open in Google Maps ↗

Other Names 1

Former Name (1)Marlena Holmes Lpc

Secondary Practice Location 1

Location 1113 Portland TerCollinsville, IL 62234-3637 · Phone (618) 363-9305

Other Identifiers 1

Medicaid490092511MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlena Hathaway Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE LYNCH REH LCSW

Social Worker (Clinical)