FRESH AIRE SAMARITAN COUNSELING CENTER (NPI# 1235491556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235491556 |
Entity Type | Organization |
Organization Name | FRESH AIRE SAMARITAN COUNSELING CENTER |
Practice Address |
315 W Larkin St Midland MI 48640-5152 |
Practice Telephone | 9898357511 |
Mailing Telephone | 9898357511 |
Enumeration Date | 2012-06-12 |
Last Update Date | 2012-06-12 |
Authorized Official Name | DR. LISA M MCILVENNA (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9898357511 |
Authorized Official Credential | DMIN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 6401010105 | MI | Agencies |
Street Address |
315 W LARKIN ST |
City | MIDLAND |
State | MI |
Zip Code | 48640-5152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538700547 | Cortney Lynn Kramer | Counselor | 315 W Larkin St, Midland, MI 48640-5152 | 2019-10-01 |
1225692452 | Ronald Max Brock | Counselor | 315 W Larkin St, Midland, MI 48640-5152 | 2019-04-23 |
1548644453 | Colleen Gorman | Counselor | 315 W Larkin St, Midland, MI 48640-5152 | 2015-07-10 |
1144626227 | Amy Mcdonald | Counselor | 315 W Larkin St, Midland, MI 48640-5152 | 2014-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
Find all providers in zip 48640 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
1164995221 | Resouces for Human Development, Inc. | Community/Behavioral Health | 6383 Tuscarawas Rd, Midland, PA 15059-2041 | 2019-01-10 |
1932472891 | Midland County Juvenile Care Center | Community/Behavioral Health | 3712 E Ashman Rd, Midland, MI 48642-9314 | 2012-02-22 |
1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
1952678070 | Arnold Center, Inc. | Community/Behavioral Health | 400 Wexford Ave, Midland, MI 48640-5660 | 2011-11-17 |
1679723167 | J&a Counseling and Evaluations, Inc. | Community/Behavioral Health | 5100 Eastman Ave, Midland, MI 48640-6793 | 2008-09-22 |
1023139201 | The Mental Health Association In North Carolina, Inc. | Community/Behavioral Health | 4293 Highway 24 27 E Ste D, Midland, NC 28107-9465 | 2007-04-03 |
1558407122 | Permian Basin Community Centers for Mhmr | Community/Behavioral Health | 400 N Carver St, Midland, TX 79701 | 2007-01-30 |
1275986937 | Reflections Professional Counseling, LLC | Community/Behavioral Health | 5103 Eastman Ave, Suite 217, Midland, MI 48640-6785 | 2016-07-18 |
1013372374 | Permian Basin Community Center | Community/Behavioral Health | 502 N Carver St, Midland, TX 79701-3634 | 2015-12-30 |
Find all providers in MIDLAND |
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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.