STEPHANIE R SECULES (NPI# 1164786331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164786331 |
| Entity Type | Individual |
| Full Name | STEPHANIE R SECULES |
| Credential | MSW |
| Practice Address |
931 W Water St Portland IN 47371-1755 |
| Mailing Address |
240 N Tillotson Ave Muncie IN 47304-3988 |
| Practice Telephone | 7652881928 |
| Practice Fax Number | 7657410335 |
| Mailing Telephone | 7652881928 |
| Mailing Fax Number | 7657410335 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
931 W WATER ST |
| City | PORTLAND |
| State | IN |
| Zip Code | 47371-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134171622 | Nathaniel William Bryan | Social Worker | 931 W Water St, Portland, IN 47371-1755 | 2006-05-16 |
| 1750997714 | Andrea Kuehnhold | Behavior Technician | 931 W Water St, Portland, IN 47371-1755 | 2020-09-16 |
| 1013526243 | Kayla Jenkins | Social Worker | 931 W Water St, Portland, IN 47371-1755 | 2020-07-23 |
| 1407486871 | Jamie Thobe | Social Worker | 931 W Water St, Portland, IN 47371-1755 | 2020-01-24 |
| 1487215273 | David Waters | Behavioral Analyst | 931 W Water St, Portland, IN 47371-1755 | 2019-06-24 |
| 1639653249 | Kelli Larrabee | Behavior Technician | 931 W Water St, Portland, IN 47371-1755 | 2018-09-19 |
| 1376027250 | Tonetta Mattson | Behavior Technician | 931 W Water St, Portland, IN 47371-1755 | 2018-09-18 |
| 1740641430 | Heidi Augsburger | Counselor | 931 W Water St, Portland, IN 47371-1755 | 2016-03-09 |
| 1720466360 | Tina Luther | Counselor | 931 W Water St, Portland, IN 47371-1755 | 2015-05-15 |
| 1336402171 | Tiffany L. Ickes | Counselor | 931 W Water St, Portland, IN 47371-1755 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1609186030 | Carolyn Louise Keihn | Nurse Practitioner | 430 W. Votaw St., Portland, IN 47371 | 2010-10-19 |
| 1922125384 | Carla Ann Ford | Social Worker | 1758 W 100s, Jay County Hopsital Behavioral Health, Portland, IN 47371 | 2007-03-23 |
| 1902824956 | Midwest Healthstrategies, Inc | Physical Therapist | 1745 W 100 S, Portland, IN 47371 | 2006-07-18 |
| 1346212875 | Jenni Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-07 |
| 1497756043 | Jay County Government | Ambulance | 902 N Creagor Ave, Portland, IN 47371 | 2005-08-04 |
| 1336694736 | Anne Hardesty | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371 | 2016-08-16 |
| 1861574006 | Wal-mart Stores East, Lp | Technician/Technologist | 950 W Votaw St, Portland, IN 47371 | 2006-10-19 |
| 1144296088 | Kent Farnsworth | Emergency Medicine | 500 W Votaw St, Portland, IN 47371 | 2006-02-28 |
| Find all providers in zip 47371 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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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.