MR. ROBERT JAMES BULTEMA (NPI# 1174743264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174743264 |
| Entity Type | Individual |
| Full Name | MR. ROBERT JAMES BULTEMA |
| Credential | LBSW CAC-II |
| Practice Address |
125 E Southern Avenue Muskegon MI 49442 |
| Mailing Address |
2132 Reneer Muskegon MI 49441 |
| Practice Telephone | 2317243699 |
| Practice Fax Number | 2317243659 |
| Mailing Telephone | 2317597224 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2-00419 | MI | Behavioral Health & Social Service Providers |
| Street Address |
125 E SOUTHERN AVENUE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891915989 | Cynthia Lynn Blair | Registered Nurse | 125 E Southern Avenue, Muskegon, MI 49442 | 2007-04-30 |
| 1043431034 | Eva Marie Alexander | Registered Nurse | 125 E Southern Avenue, Muskegon, MI 49442-5041 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356731509 | Shawndreka Shanay Payne | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2015-01-27 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1851640213 | Jill Stamison | Counselor | 125 E. Southern Avenue, Muskegon, MI 49442-0000 | 2012-08-31 |
| 1609094747 | Asher M Pimpleton | Counselor | 2410 Marquard Ave, Muskegon, MI 49445-3231 | 2007-04-23 |
| 1649218041 | Marion Oakes-hunter | Counselor | 1352 Terrace St, Muskegon, MI 49442-3545 | 2006-06-04 |
| 1124636931 | Norman Kittleson | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-07-17 |
| 1669011334 | Lisa Lamphiere | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2019-12-30 |
| 1457990400 | Andrew G Hicks | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2019-12-21 |
| 1134614696 | Arbor Circle Corporation | Counselor | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-06-27 |
| 1053863852 | Lauren C Thomas | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2016-10-27 |
| Find all providers in MUSKEGON | ||||
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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.