AMANDA SHANEBERGER (NPI# 1154476398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154476398 |
| Entity Type | Individual |
| Full Name | AMANDA SHANEBERGER |
| Practice Address |
3865 S Mackinac Trl Sault Sainte Marie MI 49783-9286 |
| Practice Telephone | 9066353742 |
| Practice Fax Number | 9066321163 |
| Mailing Telephone | 9066353742 |
| Mailing Fax Number | 9066321163 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401010181 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3865 S MACKINAC TRL |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629161567 | Hiawatha Community Behavioral Health Authority | Community/Behavioral Health | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2006-10-02 |
| 1336758689 | Austin Lowes | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-07-23 |
| 1598381394 | Kayla Davis | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-06-18 |
| 1699313163 | Colton Korhonen | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-16 |
| 1013555895 | Aubree Archer | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-12 |
| 1235776527 | Natalie Olstrom | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-05 |
| 1497392799 | Haley Brown | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-05 |
| 1548736176 | Bonita Bundy | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-10-22 |
| 1154811032 | Bradley Benslow | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-05-16 |
| 1073024907 | Caroline Jeannette Keller | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2017-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982904132 | Sheldon Kranendonk | Counselor | 125 Arlington St, Arlington Plaza, Suite 2, Sault Sainte Marie, MI 49783-1973 | 2010-10-21 |
| 1538314679 | Anglea Marie Ellis | Counselor | 6495 S Nicolet Rd, Sault Sainte Marie, MI 49783-9517 | 2008-11-17 |
| 1033149497 | Lillian M Mcbroom | Counselor | 517 W Easterday Ave, Sault Sainte Marie, MI 49783-1623 | 2006-07-03 |
| 1497117386 | Ronald Remondini | Counselor | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2016-03-22 |
| 1700070448 | Jami L Raymond | Counselor | 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | 2007-09-05 |
| 1982894309 | Mary V Mckay | Counselor | 517 W Easterday Ave, Sault Sainte Marie, MI 49783-1623 | 2007-08-01 |
| 1649492471 | Janet B. Couch | Counselor | 517 W Easterday Ave, Sault Sainte Marie, MI 49783-1623 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
Please comment or provide details below to improve the information on AMANDA SHANEBERGER.
| 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.