MIKEL-ANNE DEVINE (NPI# 1174170187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174170187 |
Entity Type | Individual |
Full Name | MIKEL-ANNE DEVINE |
Credential | CADC I |
Practice Address |
182 Sw Academy St Dallas OR 97338-1996 |
Practice Telephone | 5036239289 |
Practice Fax Number | 5038311726 |
Mailing Telephone | 5036239289 |
Enumeration Date | 2019-08-23 |
Last Update Date | 2020-04-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7830695 | OR | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
960 Liberty St Se Ste 120, Salem, OR 973024165 | 5035882804 | 5033716743 |
Street Address |
182 SW ACADEMY ST |
City | DALLAS |
State | OR |
Zip Code | 97338-1996 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841308632 | Alfredo Jose Soto | Psychiatry & Neurology | 182 Sw Academy St, Suite 30, Dallas, OR 97338-1922 | 2006-08-29 |
1528669918 | Helen Canchola Martinez | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-11-03 |
1013525542 | Zachary Beeler | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-07-21 |
1376175398 | Theresa Ann Kollars | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-02-07 |
1346883071 | Heather Grandis | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-25 |
1154963320 | Tori A Geter | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-09 |
1801437231 | Maria Ross | Student in an Organized Health Care Education/Training Program | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-07 |
1144871096 | Kayli Peterson | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-09-23 |
1699320440 | Kelli Diane Bennett | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-08 |
1487216404 | Chi Kindig | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
Find all providers in zip 97338 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417564683 | Solutions Mental Health, Pllc | Counselor | 13500 Midway Rd Ste 400, Dallas, TX 75244-5155 | 2020-09-30 |
1588284848 | Prime Counseling | Counselor | 13140 Coit Rd Ste 215, Dallas, TX 75240-5786 | 2020-04-16 |
1174157093 | Stephanie Grogan | Counselor | 12800 Hillcrest Rd Ste A103, Dallas, TX 75230-1524 | 2020-02-29 |
1982236014 | Shannon Christine O'connor | Counselor | 3838 Rawlins St Apt 313, Dallas, TX 75219-4250 | 2020-02-06 |
1215576574 | Mary Kemp Tabor | Counselor | 14114 Dallas Pkwy Ste 245, Dallas, TX 75254-1331 | 2020-01-03 |
1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
1679116909 | Origins Counseling LLC | Counselor | 12810 Hillcrest Rd Ste B223, Dallas, TX 75230-1525 | 2019-10-18 |
1225679665 | Katherine Foutz | Counselor | 6301 Gaston Ave Ste 730, Dallas, TX 75214-6296 | 2019-10-07 |
1831730910 | Christopher Paul Logan | Counselor | 10588 Stone Canyon Rd Apt 309, Dallas, TX 75230-4419 | 2019-09-30 |
Find all providers in DALLAS |
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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.