MARYANNE VONINS GREGORY (NPI# 1205374469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205374469 |
Entity Type | Individual |
Full Name | MARYANNE VONINS GREGORY |
Credential | CPRM-M |
Practice Address |
125 E Southern Ave Muskegon MI 49442-5041 |
Practice Telephone | 2317263582 |
Practice Fax Number | 2317223369 |
Mailing Telephone | 2317263582 |
Mailing Fax Number | 2317223369 |
Enumeration Date | 2017-02-08 |
Last Update Date | 2017-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
Y | 175T00000X | Peer Specialist | MI | Other Service Providers |
Street Address |
125 E SOUTHERN AVE |
City | MUSKEGON |
State | MI |
Zip Code | 49442-5041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912954322 | Hackley Life Counseling | Clinic/Center | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2006-05-30 |
1952898686 | Michelle Reed | Nurse Practitioner | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2018-04-18 |
1508301987 | Teah Mae Waterman | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2016-12-21 |
1023478401 | Paige K Cook | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2016-02-29 |
1558773903 | Angela Mcfarlane | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2014-05-20 |
1114341914 | Gary L Oxendale | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2014-02-13 |
1477997385 | Lisa Nicole Arndt | Counselor | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2013-04-22 |
1649512484 | Susan Diane Blackburn | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2013-03-19 |
1912287830 | Jordan N Long | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2011-08-23 |
1144525288 | Hackley Life Counseling | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2011-01-21 |
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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 | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026284 | Leah Mae Sindone | Peer Specialist | 22324 Derby Rd, Woodhaven, MI 48183-3700 | 2020-09-04 |
1992314728 | Willie Earl Feggins | Peer Specialist | 370 Country Club Rd, Holland, MI 49423-8303 | 2020-07-28 |
1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
1235768680 | Matthew Milz | Peer Specialist | 145o S Lapeer Rd, Oxford, MI 48371-4982 | 2020-04-07 |
1558996132 | Camille Jewell Jackson | Peer Specialist | 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 | 2020-03-04 |
1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
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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.