MRS. MARCELLA LYDIA BACCHUS (NPI# 1154581460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154581460 |
| Entity Type | Individual |
| Full Name | MRS. MARCELLA LYDIA BACCHUS |
| Credential | MA,LPC,CAAC |
| Practice Address |
157 S Kalamazoo Mall Suite 250 Kalamazoo MI 49007-4877 |
| Practice Telephone | 2693831440 |
| Practice Fax Number | 2693839781 |
| Mailing Telephone | 2693831440 |
| Mailing Fax Number | 2693839781 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401010069 | MI | Behavioral Health & Social Service Providers |
| Street Address |
157 S KALAMAZOO MALL SUITE 250 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518907229 | Carrie L Moore | Counselor | 157 S Kalamazoo Mall, 250, Kalamazoo, MI 49007-4877 | 2006-06-08 |
| 1740673698 | Progressive Reflection for Change, LLC | Community/Behavioral Health | 157 S Kalamazoo Mall, Suite 110, Kalamazoo, MI 49007-4877 | 2015-03-16 |
| 1164677050 | Cynthia Thomas | Social Worker | 157 S Kalamazoo Mall, Ste 250, Kalamazoo, MI 49007-4877 | 2008-11-19 |
| 1922293919 | Sheryl Leann Gray | Counselor | 157 S Kalamazoo Mall, Suite 250 Mall Plaza, Kalamazoo, MI 49007-4877 | 2007-09-12 |
| 1730370206 | Park Place Counseling & Associate Plc | Social Worker | 157 S Kalamazoo Mall, Suite 250, Kalamazoo, MI 49007-4877 | 2007-08-08 |
| 1730381906 | Jennifer Mills Langeland | Counselor | 157 S Kalamazoo Mall, Mall Plaza Suite 140, Kalamazoo, MI 49007-4877 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970069 | Jennelle Hines Counseling, Pllc | Counselor | 2511 Lomond Dr, Kalamazoo, MI 49008-2125 | 2020-10-19 |
| 1275151144 | Kalamazoo Cognitive and Behavioral Therapy Pllc | Counselor | 3516 Northfield Trl, Kalamazoo, MI 49009-5899 | 2020-07-08 |
| 1386273225 | Casey Slager | Counselor | 120 Lanark Ct, Kalamazoo, MI 49006-4357 | 2020-04-03 |
| 1104452002 | Susan G Mattice | Counselor | 1030 Campbell Ave, Kalamazoo, MI 49006-3082 | 2020-03-23 |
| 1336774421 | Deanna Thompson | Counselor | 124 Remine St, Kalamazoo, MI 49001-3640 | 2020-03-09 |
| 1073148185 | Cierra L Patrick | Counselor | 4210 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2020-03-09 |
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1295391829 | Stephanie Hyer | Counselor | 2338 S Rose St, Kalamazoo, MI 49001-3621 | 2019-05-20 |
| 1598264277 | Lance Brandon Bettison | Counselor | 157 S Kalamazoo Mall Ste 250, Kalamazoo, MI 49007-4828 | 2018-02-07 |
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| Find all providers in KALAMAZOO | ||||
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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.