KISIMBA MWEMBO (NPI# 1255966982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255966982 |
| Entity Type | Individual |
| Full Name | KISIMBA MWEMBO |
| Credential | LLPC |
| Practice Address |
812 E Jolly Rd Lansing MI 48910-6818 |
| Mailing Address |
812 E Jolly Rd Ste 311 Lansing MI 48910-6821 |
| Practice Telephone | 5173468318 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401017992 | MI | Behavioral Health & Social Service Providers |
| Street Address |
812 E JOLLY RD |
| City | LANSING |
| State | MI |
| Zip Code | 48910-6818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572117 | Paul A Hammerly | Pharmacist | 812 E Jolly Rd, Suite 212, Lansing, MI 48910-6818 | 2005-10-18 |
| 1952943565 | Quiana Davis | Counselor | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2019-10-15 |
| 1023662293 | David Dell | Counselor | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2019-07-26 |
| 1164089330 | Savannah Hodge | Social Worker | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2019-05-23 |
| 1730745738 | Elise Schut | Registered Nurse | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2019-05-15 |
| 1336607027 | Shannon Ransahw | Registered Nurse | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2019-03-12 |
| 1902385743 | Brittany Glynn | Social Worker | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2018-08-13 |
| 1538655246 | Angela M Terranova | Social Worker | 812 E Jolly Rd, Lansing, MI 48910-6825 | 2018-07-05 |
| 1851894166 | Tamara Steele | Registered Nurse | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2018-03-13 |
| 1972006278 | Megan Allison | Social Worker | 812 E Jolly Rd, Lansing, MI 48910-6818 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
| 1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
| 1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
| 1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
| 1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
| Find all providers in zip 48910 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597943 | Latoya Sevier | Counselor | 2855 192nd St, Lansing, IL 60438-3717 | 2020-08-03 |
| 1689293268 | Lotus Life Counseling LLC | Counselor | 1106 N Cedar St Ste 200b, Lansing, MI 48906-5334 | 2020-04-13 |
| 1427603687 | Peace & Harmony Counseling Services, LLC | Counselor | 1100 W Saginaw St Ste 3c, Lansing, MI 48915-2033 | 2019-08-05 |
| 1578115812 | Allysa Pennington | Counselor | 812 E Jolly Rd Ste 211, Lansing, MI 48910-6821 | 2019-07-16 |
| 1669939815 | Key Concepts Counseling and Consulting | Counselor | 2517 E Mount Hope Ave Ste 12, Lansing, MI 48910-1924 | 2019-02-25 |
| 1487126595 | Mallory Godin | Counselor | 14509 Boichot Rd, Lansing, MI 48906 | 2018-12-31 |
| 1134690662 | Professional Counselors of Lansing LLC | Counselor | 913 W Holmes Rd Ste 139, Lansing, MI 48910-0436 | 2018-12-10 |
| 1245709948 | Mallori Mangus-hayden | Counselor | 936 W Edgewood Boulevarde # 170, Lansing, MI 48911-5582 | 2018-11-26 |
| 1699259556 | Shelton Rehabilitation Consulting, LLC | Counselor | 1032 N Capitol Ave, Lansing, MI 48906-4823 | 2018-09-17 |
| 1437652211 | Lauren Elizabeth Whaley | Counselor | 1112 Berten St, Lansing, MI 48910-1214 | 2018-03-17 |
| Find all providers in LANSING | ||||
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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.