GREGORY RYAN REDMAN (NPI# 1104269471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104269471 |
| Entity Type | Individual |
| Full Name | GREGORY RYAN REDMAN |
| Practice Address |
520 Superior St Port Huron MI 48060-3838 |
| Practice Telephone | 8109844202 |
| Practice Fax Number | 8109848896 |
| Mailing Telephone | 8109844202 |
| Mailing Fax Number | 8109848896 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
520 SUPERIOR ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033152459 | Lynne M Anderson | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2006-06-14 |
| 1114552171 | Amanda Haymend | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2020-03-10 |
| 1336774553 | Adrienne Brown | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2020-03-09 |
| 1295376150 | Amanda Morris | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2019-10-02 |
| 1124675202 | Jordan Kramp | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2019-08-22 |
| 1447802327 | Laura Reynolds | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2019-07-11 |
| 1386204790 | Whitney Erin Ostrom | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2019-06-18 |
| 1376102566 | Shantell Monique Smith | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2019-06-11 |
| 1942771399 | Amy Marie Simone-hunt | Counselor | 520 Superior St, Port Huron, MI 48060-3838 | 2018-12-11 |
| 1134699101 | Cynthia Lacroix | Social Worker | 520 Superior St, Port Huron, MI 48060-3838 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1801929138 | Anne Rosemarie Penn | Counselor | 824 Huron Ave, Port Huron, MI 48060-3705 | 2007-03-14 |
| 1922199769 | Virginia Mary Towe-terry | Counselor | 1406 8th St., Port Huron, MI 48060 | 2006-09-27 |
| 1952413312 | Kari Ann Kreger | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2006-08-31 |
| 1154887164 | Jordan Alyssa Fitzpatrick | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-02-14 |
| 1609327881 | Dina Louise Campbell | Counselor | 805 Superior St, Port Huron, MI 48060-3771 | 2016-10-22 |
| 1891150850 | Jennifer Marie Polio | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2015-12-17 |
| 1508249913 | Rebecca Mercurio | Counselor | 520 Superior St, Port Huron, MI 48060-3838 | 2015-07-02 |
| 1811399728 | Kurtis Kirkpatrick | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2014-09-23 |
| 1114336500 | Rachel Krueger | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2014-08-11 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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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.