MICHELLE RENEE PASS (NPI# 1073764320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073764320 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE PASS |
| Credential | LPC,LMFT |
| Practice Address |
420 N Main St Greenwood AR 72936 |
| Mailing Address |
Po Box 11818 Fort Smith AR 72917-1818 |
| Practice Telephone | 4799968884 |
| Mailing Telephone | 4794526650 |
| Mailing Fax Number | 4794525847 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A1007071 | AR | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1306054 | AR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | M1306007 | AR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | A1008019 | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4611 Rogers Ave, Fort Smith, AR 729033148 | 4795617600 | |
| 13126 Dalmut Rd, Hartford, AR 729389056 | 4796515279 | |
| 3111 S 70th St, Fort Smith, AR 729035017 | 4794526650 | 4794525847 |
| Street Address |
420 N MAIN ST |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912490640 | Jamie Renee Foster | Counselor | 420 N Main St, Greenwood, AR 72936-7007 | 2018-06-07 |
| 1467872192 | Alta Smith | Specialist/Technologist | 420 N Main St, Greenwood, AR 72936-7007 | 2014-04-21 |
| 1659529410 | Deann Denison | Speech-Language Pathologist | 420 N Main St, Greenwood, AR 72936-7007 | 2008-09-05 |
| 1235387903 | Audrey Ann Kengla | Speech-Language Pathologist | 420 N Main St, Greenwood, AR 72936-7007 | 2008-09-05 |
| 1326258393 | Crissy Ann Thompson | Counselor | 420 N Main St, Greenwood, AR 72936 | 2007-05-22 |
| 1902969876 | Greenwood Public Schools | Local Education Agency (LEA) | 420 N Main St, Greenwood, AR 72936-7007 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062271 | Megan Joanne Mitchell | Counselor | 471 Howe Hill Road, Greenwood, ME 04255 | 2020-10-30 |
| 1821605643 | Melissa Janea Nyquist | Counselor | 1405 Cypress Dr, Greenwood, MO 64034-8626 | 2020-09-25 |
| 1427513696 | Drenda Allison Sheek | Counselor | 311 Belle Meade Rd, Greenwood, SC 29649-9216 | 2019-02-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1366851883 | Samantha Black | Counselor | 112b Bypass 225, Greenwood, SC 29646-1154 | 2014-08-08 |
| 1972929354 | Donna Garofalo Brown | Counselor | 1518 Calhoun Rd, Greenwood, SC 29649-8905 | 2014-03-10 |
| 1003242264 | Patricia Busby-robinson | Counselor | 201 Fulton St, Greenwood, MS 38930-4324 | 2013-09-19 |
| 1922391200 | Laurice Michelle Taylor | Counselor | 407 Copeland Dr, Greenwood, MO 64034-9350 | 2011-05-19 |
| 1881878478 | Monty Lee Atchley | Counselor | 16135 Highway 71 S, Greenwood, AR 72936-7218 | 2007-12-19 |
| 1659562858 | Amy P Loftus | Counselor | 1547 Parkway Ste 100, Greenwood, SC 29646-4081 | 2007-08-05 |
| Find all providers in GREENWOOD | ||||
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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.