MR. NATHANIEL EDISON PONDER (NPI# 1033724943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033724943 |
| Entity Type | Individual |
| Full Name | MR. NATHANIEL EDISON PONDER |
| Credential | CADC, CTP-C |
| Practice Address |
50430 School House Rd Canton MI 48187-5910 |
| Practice Telephone | 7344951722 |
| Mailing Telephone | 7344951722 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MI | Behavioral Health & Social Service Providers |
| Street Address |
50430 SCHOOL HOUSE RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952432841 | Family Service of Detroit & Wayne County | Counselor | 50430 School House Rd, Suite 104, Canton, MI 48187-5910 | 2007-03-09 |
| 1457968612 | Reanna Bell | Counselor | 50430 School House Rd, Canton, MI 48187-5910 | 2020-09-30 |
| 1790309581 | Jamaine Thomas Atkins Sr. | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2020-06-08 |
| 1023652831 | William Carroll | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-05 |
| 1164066221 | Sarah Spencer | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1528602653 | Connor Lehn | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1881238921 | Sarah Wiegand | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1841834983 | Kevin Kiesel | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-11-01 |
| 1861036030 | Tarah Paulsen | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-10-31 |
| 1518501790 | Nancy Struble | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1528601663 | Shelly R Bowling | Counselor | 1522 Baum St Se, Canton, OH 44707-1107 | 2019-10-22 |
| 1962043141 | Erin Ann Williams | Counselor | 1023 S Trade Days Blvd Unit 102, Canton, TX 75103-2434 | 2019-09-30 |
| 1346898079 | Shericka Meeks | Counselor | 304 15th St Ne Ste B, Canton, OH 44714-2523 | 2019-08-27 |
| 1295293876 | Diamond Lawrencethia Gay | Counselor | 4661 Belpar St Nw, Canton, OH 44718-3602 | 2019-03-04 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.