MICHELLE RENEA BERENDSEN (NPI# 1093339079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093339079 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEA BERENDSEN |
| Practice Address |
7 Waveland Ave Winchester KY 40391-1231 |
| Mailing Address |
1801 Watermark Dr Ste 200 Columbus OH 43215-7088 |
| Practice Telephone | 8593854669 |
| Practice Fax Number | 6142279447 |
| Mailing Telephone | 6144878758 |
| Mailing Fax Number | 6142279447 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
7 WAVELAND AVE |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131019 | Dora Gina Ferguson | Counselor | 7 Waveland Ave, Winchester, KY 40391-1231 | 2016-05-05 |
| 1356942346 | Marquetta Louise Brown | Case Manager/Care Coordinator | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-11-05 |
| 1730791302 | Amanda Rene Sowers | Case Manager/Care Coordinator | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-08-17 |
| 1003427824 | Niki L Ledford | Case Manager/Care Coordinator | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-08-14 |
| 1417567173 | Austina Bruton | Counselor | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-08-06 |
| 1063050128 | Jacob Hurd | Counselor | 7 Waveland Ave, Winchester, KY 40391-1231 | 2019-12-19 |
| 1508397340 | National Youth Advocate Program, Inc | Foster Care Agency | 7 Waveland Ave, Winchester, KY 40391-1231 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326596 | Lutheran Family Services of Virginia, Inc. | Community/Behavioral Health | 1548 N Hayfield Rd, Winchester, VA 22603-3420 | 2017-10-10 |
| 1750823043 | Crossroads Treatment Center of Winchester, PC | Community/Behavioral Health | 500 Pegasus Ct, Winchester, VA 22602 | 2016-11-17 |
| 1285181966 | Lutheran Family Services of Virginia, Inc. | Community/Behavioral Health | 4275 Middle Rd, Winchester, VA 22602-2520 | 2016-09-09 |
| 1508310657 | Lutheran Family Services of Virginia, Inc. | Community/Behavioral Health | 2239 Front Royal Pike, Winchester, VA 22602-4731 | 2016-08-06 |
| 1629445507 | Qoheleth Counseling LLC | Community/Behavioral Health | 366 Stony Hill Rd, Winchester, VA 22603-4918 | 2015-08-27 |
| 1427464122 | Lutheran Family Services of Virginia, Inc. | Community/Behavioral Health | 281 Channing Dr, Winchester, VA 22602-7013 | 2014-07-02 |
| 1033525720 | Lutheran Family Services of Virginia, Inc | Community/Behavioral Health | 349 Apple Pie Ridge Rd, Winchester, VA 22603-4311 | 2014-07-02 |
| 1073928875 | Lutheran Family Services of Virginia | Community/Behavioral Health | 4651 N Frederick Pike, Winchester, VA 22603-2838 | 2014-07-01 |
| 1144659657 | Lutheran Family Services of Virginia, Inc. | Community/Behavioral Health | 225 E Pall Mall St, Winchester, VA 22601-4575 | 2013-11-05 |
| 1508101825 | Family Preservation Services, Inc. | Community/Behavioral Health | 444 Shady Elm Rd, Winchester, VA 22602-2523 | 2012-11-28 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
Please comment or provide details below to improve the information on MICHELLE RENEA BERENDSEN.
| 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.