DEMETRIS BASS (NPI# 1073841607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073841607 |
| Entity Type | Individual |
| Full Name | DEMETRIS BASS |
| Credential | BA |
| Practice Address |
5900 Hohman Ave Hammond IN 46320-2423 |
| Mailing Address |
4528 W 73rd Ct Merrillville IN 46410-7333 |
| Practice Telephone | 2199310427 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5900 HOHMAN AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902947377 | Steven Adam Myles | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2007-02-09 |
| 1912522368 | Ng Medical Center LLC | Radiology | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2020-06-11 |
| 1649643719 | Karen Zukrow | Social Worker | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2015-11-11 |
| 1639542368 | Svetlana Medvedeva | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2015-11-03 |
| 1750782678 | Erin Findley-sykes | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2014-09-10 |
| 1902167372 | Karen Lee Sheets | Case Manager/Care Coordinator | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2012-06-01 |
| 1629357009 | Suzanne Marie Barnes | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2011-08-16 |
| 1548581713 | Jennifer Gescheidler | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2010-06-22 |
| 1568792026 | Anthony Avery | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2010-01-06 |
| 1477889657 | Rose Davis | Counselor | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2009-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593538 | Deanna Mathews, Lpc, LLC | Counselor | 115 S Cypress St Ste A, Hammond, LA 70403-4234 | 2020-09-17 |
| 1225686587 | Stephony Mark | Counselor | 44125 S Airport Rd, Hammond, LA 70403-0303 | 2019-08-29 |
| 1447726187 | Shelia L Sanders | Counselor | 1102 Commercial Dr, Hammond, LA 70403-5954 | 2018-10-20 |
| 1790289247 | Shanna Danielle Richardson | Counselor | 17492 Avalon Ter, Hammond, LA 70403-6455 | 2018-03-20 |
| 1003336918 | Erolyn Edwards | Counselor | 208 East Thomas Street, Hammond, LA 70401 | 2017-06-21 |
| 1356870885 | Unita Gay Andrews | Counselor | 17044 Domiano Ln., Hammond, LA 70401 | 2017-06-08 |
| 1134669328 | Lashaun Leonard | Counselor | 17113 E Park Ave, Hammond, LA 70403-5270 | 2017-03-07 |
| 1891230066 | Dustane Reed | Counselor | 18017 Ashton Dr, Hammond, LA 70403-0268 | 2016-12-27 |
| 1558813477 | Connie Black | Counselor | 14524 W David Dr, Hammond, LA 70401-1201 | 2016-10-26 |
| 1023466034 | Kiplyn Andrews | Counselor | 412 E Crystal St, Hammond, LA 70401-1822 | 2016-05-31 |
| Find all providers in HAMMOND | ||||
Please comment or provide details below to improve the information on DEMETRIS BASS.
| 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.