MCCULLOUGH, VARGAS, & ASSOCIATES, INC. (NPI# 1144253923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144253923 |
Entity Type | Organization |
Organization Name | MCCULLOUGH, VARGAS, & ASSOCIATES, INC. |
Practice Address |
770 Riverside Ave Ste 11 Adrian MI 49221-1476 |
Practice Telephone | 5172642244 |
Practice Fax Number | 5172633325 |
Mailing Telephone | 5172642244 |
Mailing Fax Number | 5172633325 |
Enumeration Date | 2006-07-08 |
Last Update Date | 2017-10-17 |
Authorized Official Name | MR. GERALD MCCULLOUGH (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5172642244 |
Authorized Official Credential | MA, CAADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
460036 | MI | Ambulatory Health Care Facilities |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770035578 | Mccullough, Vargas, & Associates, Inc. | Community/Behavioral Health | 101 Reading Ave, Jonesville, MI 49250-0000 | 2016-10-27 |
Street Address |
770 RIVERSIDE AVE STE 11 |
City | ADRIAN |
State | MI |
Zip Code | 49221-1476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497758650 | Asuncion Q Luz | Pediatrics | 770 Riverside Ave, Suite 17, Adrian, MI 49221-1476 | 2005-05-23 |
1639699408 | Christopher Donald Valkier | Podiatrist | 770 Riverside Ave, Adrian, MI 49221-1476 | 2017-06-22 |
1043690753 | Lisa Schultz | Counselor | 770 Riverside Ave, 11, Adrian, MI 49221-1476 | 2015-06-08 |
1710395439 | Tracy Salazar | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1445 | 2014-07-25 |
1780091751 | Joyce Faulhaber | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2014-07-22 |
1194132449 | Gerald Nelson Mccullough | Counselor | 770 Riverside Ave, Ste 11, Adrian, MI 49221-1476 | 2014-07-18 |
1417391673 | Grady Elam | Social Worker | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2013-04-18 |
1467731117 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1476 | 2011-08-12 |
1609011311 | Scott R. Smith Dds.,pc | Dentist | 770 Riverside Ave, Suite #201, Adrian, MI 49221-1476 | 2008-12-09 |
1467630616 | Southeastern Orthopedics PC | Orthopaedic Surgery | 770 Riverside Ave, Ste 105, Adrian, MI 49221-1476 | 2008-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
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Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184138505 | Melissa Marie Vargas | Counselor | 770 Riverside Ave Ste 11, Adrian, MI 49221-1465 | 2017-11-21 |
1750718821 | Bruce Howard Fry | Counselor | 199 N Broad St Ste 1, Adrian, MI 49221-2762 | 2013-10-03 |
1689019408 | Marilyn L. Horton | Counselor | 1240 Buckingham Ct, Adrian, MI 49221-9368 | 2013-05-07 |
1154611663 | Jacklyn Suzanne Turbett | Counselor | 3266 N Adrian Hwy, Adrian, MI 49221-1144 | 2011-04-18 |
1528192853 | Catholic Social Services of Lenawee County | Counselor | 199 N Broad St, Adrian, MI 49221 | 2007-03-16 |
1215556352 | Adam Douglas Grant | Counselor | 805 W Maumee St, Adrian, MI 49221-1901 | 2020-04-09 |
1891314977 | Brooke Elizabeth-lundy Habay | Counselor | 805 W Maumee St, Adrian, MI 49221-1901 | 2020-04-09 |
1346731411 | Danyelle Matthews | Counselor | 770 Riverside Ave Ste 11, Adrian, MI 49221-1465 | 2018-05-24 |
1043756992 | Kelly M. Clute | Counselor | 805 W Maumee St, Adrian, MI 49221-1901 | 2017-01-17 |
1275992042 | Kim Burton | Counselor | 1040 S Winter St, Adrian, MI 49221-3876 | 2016-02-22 |
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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.