MR. RANDY LEROY COUSINEAU (NPI# 1104177047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104177047 |
| Entity Type | Individual |
| Full Name | MR. RANDY LEROY COUSINEAU |
| Credential | CAADC, LPC, MLSW |
| Practice Address |
1823 Commerce St. Muskegon MI 49411 |
| Mailing Address |
1823 Commerce St. West Michigan Therapy Muskegon MI 49441 |
| Practice Telephone | 2317282138 |
| Practice Fax Number | 2317224771 |
| Mailing Telephone | 2317282138 |
| Mailing Fax Number | 2317224771 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401001535 | MI | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
206486 | MI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 6801057570 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1823 COMMERCE ST. |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411937 | Horace Lattimore Jr. | Counselor | 1823 Commerce St., Muskegon, MI 49442 | 2013-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912959479 | Paula Kathleen Wietrzykowski | Social Worker | 6050 N Us Highway 31, Free Soil, MI 49411-9157 | 2006-05-16 |
| 1053500413 | Carol E. Peterson, Md Plc | Internal Medicine | 6050 N Us Highway 31, Free Soil, MI 49411-9157 | 2007-10-22 |
| 1720025042 | Susan K Henry | Internal Medicine | 6050 N Us Highway 31, Free Soil, MI 49411-9157 | 2006-06-02 |
| 1962449116 | West Mi. Regional Cancer and Blood Center | Internal Medicine | 6050 N Us Highway 31, Free Soil, MI 49411-9157 | 2006-05-31 |
| 1043761257 | Katelyn Graczyk | Student in an Organized Health Care Education/Training Program | 837 W Townline Rd, Free Soil, MI 49411-9749 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
| 1275132441 | Great Lakes Hope | Social Worker | 2687 Odawa Trl, Muskegon, MI 49444-6739 | 2020-10-20 |
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1194323436 | Alison Lee Rudick | Social Worker | 3084 Klug St, Muskegon, MI 49444-3223 | 2020-10-09 |
| 1639776172 | Blue Dot | Private Vehicle | 370 Roberts St, Muskegon, MI 49442-1363 | 2020-10-07 |
| 1023625605 | Megan Angela Rose | Social Worker | 1291 Fleming Ave, Muskegon, MI 49442-5292 | 2020-09-28 |
| 1841805306 | Alex Wagner, LLC | Clinic/Center | 1864 Lakeshore Dr Ste A, Muskegon, MI 49441-1607 | 2020-09-11 |
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1114538709 | Megan Escareno | Behavior Technician | 4077 White Rd, Muskegon, MI 49442-9429 | 2020-08-16 |
| Find all providers in MUSKEGON | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356731509 | Shawndreka Shanay Payne | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2015-01-27 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1851640213 | Jill Stamison | Counselor | 125 E. Southern Avenue, Muskegon, MI 49442-0000 | 2012-08-31 |
| 1609094747 | Asher M Pimpleton | Counselor | 2410 Marquard Ave, Muskegon, MI 49445-3231 | 2007-04-23 |
| 1649218041 | Marion Oakes-hunter | Counselor | 1352 Terrace St, Muskegon, MI 49442-3545 | 2006-06-04 |
| 1124636931 | Norman Kittleson | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-07-17 |
| 1669011334 | Lisa Lamphiere | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2019-12-30 |
| 1457990400 | Andrew G Hicks | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2019-12-21 |
| 1134614696 | Arbor Circle Corporation | Counselor | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-06-27 |
| 1053863852 | Lauren C Thomas | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2016-10-27 |
| Find all providers in MUSKEGON | ||||
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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.