Provider Demographics
NPI:1275325300
Name:YERGIN, MAREIKE KATALIN (NCC, PLPC)
Entity type:Individual
Prefix:
First Name:MAREIKE
Middle Name:KATALIN
Last Name:YERGIN
Suffix:
Gender:F
Credentials:NCC, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 FOREST AVE UNIT 205
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-3337
Mailing Address - Country:US
Mailing Address - Phone:573-825-7441
Mailing Address - Fax:
Practice Address - Street 1:1924 VAN BRUNT BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64127-2921
Practice Address - Country:US
Practice Address - Phone:816-418-3182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000079101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty