MR. MARK E JR. WARDLOW (LPC) – Professional Counselor, NPI 1942544630
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,232 MENTAL HEALTH COUNSELOR in MO
Provider Addresses for MR. MARK E JR. WARDLOW (LPC)
PO BOX 844715
KANSAS CITY, MO 641844715
Phone: (417) 761-5214
Fax: (417) 761-5065
Type: Mailing
203 N Grand St
Salem, MO 655601344
Phone: (573) 729-4103
Type: Location
10048 Settle Mill Rd
Cadet, MO 636309288
Phone: (573) 438-6706
Type: Location
1051 Kingshighway St Ste 5
Rolla, MO 654012981
Phone: (573) 364-8511
Type: Location
1597 N Highway 63
Houston, MO 65483
Phone: (417) 967-2887
Fax: (573) 756-7451
Type: Location
1103 Weber Rd
Farmington, MO 636403345
Phone: (573) 664-1629
Type: Location
125 E Green St
Piedmont, MO 639571248
Phone: (573) 223-2734
Type: Location
215 3rd St Unit 2
Steelville, MO 655655054
Phone: (833) 299-8788
Type: Location
3150 Warrior Ln
Poplar Bluff, MO 639018686
Phone: (573) 785-5333
Type: Location
1528 HIGHWAY H
FARMINGTON, MO 636407042
Phone: (573) 915-4123
Type: Mailing
5536 HIGHWAY 32
FARMINGTON, MO 636407357
Phone: (573) 756-5749
Type: Location
5536 Highway 32
Farmington, MO 636407357
Phone: (573) 756-5749
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250923004013 | I | Mental Health Counselor | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64184)
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