AMANDA MATTHEWS-HARGRAVE (NPI# 1174654644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174654644 |
| Entity Type | Individual |
| Full Name | AMANDA MATTHEWS-HARGRAVE |
| Credential | LMHC |
| Practice Address |
1 W Jackson St Sullivan IN 47882-1503 |
| Practice Telephone | 8129050182 |
| Practice Fax Number | 8122686767 |
| Mailing Telephone | 8129050182 |
| Mailing Fax Number | 8122686767 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39001856 | IN | Behavioral Health & Social Service Providers |
| Street Address |
1 W JACKSON ST |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760430227 | Christina Hall | Counselor | 1 W Jackson St, Sullivan, IN 47882-1503 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| Find all providers in zip 47882 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518005768 | Edwin Joseph Lacheta Jr. | Counselor | 2 W Adams, Sullivan, IL 61951-1943 | 2007-02-01 |
| 1972650190 | Jeanne Josselyn Edwards | Counselor | 2165 Us Hwy 1 Ste 5, Sullivan, ME 04664-3215 | 2007-01-03 |
| 1760430227 | Christina Hall | Counselor | 1 W Jackson St, Sullivan, IN 47882-1503 | 2006-05-05 |
| 1912522384 | Emilee Anne Kruchten | Counselor | 12 W Harrison St, Sullivan, IL 61951-1907 | 2020-06-11 |
| 1245859693 | Ashlynn Kaye Pinney | Counselor | 12 W Harrison St, Sullivan, IL 61951-1907 | 2020-04-15 |
| 1275152670 | Macie Anna Miller | Counselor | 12 W Harrison St, Sullivan, IL 61951-1907 | 2020-04-15 |
| 1164054151 | Rochelle Marie Morgan | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2020-02-07 |
| 1336783059 | Emily S Brendel | Counselor | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-11-06 |
| 1407403165 | Nina Harris | Counselor | 12 W Harrison St, Sullivan, IL 61951-1907 | 2019-08-19 |
| 1720648579 | Elizabeth Joy Vanneste | Counselor | 12 W Harrison St, Sullivan, IL 61951-1907 | 2019-06-14 |
| Find all providers in SULLIVAN | ||||
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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.