TINA MARIE LEE (NPI# 1104967595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104967595 |
| Entity Type | Individual |
| Full Name | TINA MARIE LEE |
| Practice Address |
322 N Main St Kokomo IN 46901-4622 |
| Practice Telephone | 7654538238 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205340866 | Tina Maria Lee | Contractor | 604 James Ave, Colonial Heights, VA 23834-2812 | 2017-11-18 |
| 1831463637 | Tina E Lee | Occupational Therapy Assistant | 2492 Silver Run Rd, Poplarville, MS 39470-3491 | 2012-02-27 |
| 1316217102 | Tina L Lee | Physician Assistant | 15263 Sweetbriar Dr, Basehor, KS 66007-3031 | 2012-01-10 |
| 1437356136 | Tina J Lee | Speech-Language Pathologist | 5535 Canoga Ave, Apt 107, Woodland Hills, CA 91367-6632 | 2007-06-27 |
| 1447343082 | Tina Lee | Psychiatry & Neurology | 1200 5th Ave, Suite 800, Seattle, WA 98101-3132 | 2006-10-02 |
| 1487174272 | Tina Lee | Pharmacist | 9089 Woodman Ave, Arleta, CA 91331-6404 | 2017-06-22 |
| 1073067104 | Tina Lee | Physical Therapist | 11205 Knott Ave Ste E, Cypress, CA 90630-5489 | 2016-08-05 |
| 1679841456 | Tina Wong Lee | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2011-12-07 |
| 1275818031 | Tina Lee | Registered Nurse | 131 S Webb Ave, Crossville, TN 38555-8452 | 2011-10-12 |
| 1982924619 | Tina Xiang Lee | Family Medicine | 2260 Morse Rd, Columbus, OH 43229-5858 | 2010-06-04 |
| Street Address |
322 N MAIN ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830599 | Matthew Nathaniel Isaac Oliver | Psychologist | 322 N Main St, Kokomo, IN 46901-4622 | 2005-12-01 |
| 1558906685 | Jovan Shumpert | Counselor | 322 N Main St, Kokomo, IN 46901-4622 | 2019-11-13 |
| 1467096339 | Matthew Matteson | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2019-11-04 |
| 1265994180 | Lindsey N Morgan | Nurse Practitioner | 322 N Main St, Kokomo, IN 46901-4622 | 2019-04-01 |
| 1679099055 | Kyle Roussey | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2017-08-17 |
| 1962869917 | Marie Yager | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2016-01-21 |
| 1235505942 | Greg Edie | Social Worker | 322 N Main St, Kokomo, IN 46901 | 2015-08-17 |
| 1770975328 | Jennifer Ashlee Cramer | Counselor | 322 N Main St, Kokomo, IN 46901-4622 | 2015-02-19 |
| 1134526304 | Amanda Serie | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2014-12-03 |
| 1386084556 | Bobbi J Siccardi | Social Worker | 322 N Main St, Kokomo, IN 46901 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| 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 |
|---|---|---|---|---|
| 1013233980 | Michael R Turley | Counselor | 979 Echo Ln, Kokomo, IN 46902-2602 | 2010-04-15 |
| 1275677270 | Tara L Eytcheson | Counselor | 1539 E 100 N, Kokomo, IN 46901-3413 | 2007-02-16 |
| 1811536592 | Calah Unique Oglesby | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2019-12-30 |
| 1801451372 | Julie Parson Otis | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2019-05-09 |
| 1225598063 | Rita Marie Tattersall | Counselor | 2765 Albright Rd Ste A, Kokomo, IN 46902-3996 | 2019-03-20 |
| 1790258713 | Stephanie Newswanger | Counselor | 424 E Southway Blvd, Kokomo, IN 46902-3814 | 2019-01-03 |
| 1689196032 | Monica Patrease Mcdonald | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2017-07-07 |
| 1376063586 | Rich T. Saxton | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2017-06-20 |
| 1770983348 | Kim Almon Smith | Counselor | 315 W Lincoln Rd, Kokomo, IN 46902-3850 | 2014-09-02 |
| 1114344116 | Rachel Anderson | Counselor | 3409 S 200 W, Kokomo, IN 46902-9613 | 2014-03-27 |
| Find all providers in KOKOMO | ||||
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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.