ALPHONSO TRESVONT CHAMPAGNE (NPI# 1306281738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306281738 |
Entity Type | Individual |
Full Name | ALPHONSO TRESVONT CHAMPAGNE |
Credential | CASAC-T |
Practice Address |
54 S 3rd Ave Mount Vernon NY 10550-3303 |
Practice Telephone | 9146644042 |
Mailing Telephone | 9143804942 |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-04-29 |
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) |
22129 | NY | Behavioral Health & Social Service Providers |
Street Address |
54 S 3RD AVE |
City | MOUNT VERNON |
State | NY |
Zip Code | 10550-3303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073707865 | David L Winston | Counselor | 54 S 3rd Ave, Mount Vernon, NY 10550-3303 | 2007-09-05 |
1003222456 | Kady-ann Grant | Counselor | 54 S 3rd Ave, Mount Vernon, NY 10550-3303 | 2014-07-07 |
1265858112 | Carol Petretti | Counselor | 54 S 3rd Ave, Mount Vernon, NY 10550-3303 | 2014-03-14 |
1013348432 | Yvonne Spencer | Counselor | 54 S 3rd Ave, 1st Floor, Mount Vernon, NY 10550-3303 | 2013-12-11 |
1003246307 | Jeremy Thompson | Counselor | 54 S 3rd Ave, Mount Vernon, NY 10550-3303 | 2013-11-22 |
1811326887 | Michael Patterson Jr. | Counselor | 54 S 3rd Ave, Mount Vernon, NY 10550-3303 | 2013-11-11 |
1689009250 | Mount Vernon Open Door | Counselor | 54 S 3rd Ave, Mount Vernon, NY 10550-3303 | 2013-09-13 |
1184963282 | Michael J Seminara | Counselor | 54 S 3rd Ave, 2nd Floor, Mount Vernon, NY 10550-3303 | 2013-02-08 |
1982880860 | Westchester Community Opportunity Program, Inc. | Counselor | 54 S 3rd Ave, Floor #2, Mount Vernon, NY 10550-3303 | 2008-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
Find all providers in zip 10550 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295210607 | Lindsay Susan Smith | Counselor | 401 W High St, Mount Vernon, OH 43050-2324 | 2018-10-02 |
1962932640 | Megan J Pickard | Counselor | 1601 E College Way # 1, Mount Vernon, WA 98273-5612 | 2017-06-15 |
1659611051 | Richard Rudolph Jones | Counselor | 110 No. 10th. Ave. Apt.#7x, Mount Vernon, NY 10551 | 2013-02-21 |
1144569948 | Paulette Erin Nathan | Counselor | 332 Hayward Ave, Mount Vernon, NY 10552-1607 | 2013-02-14 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1831464346 | Tyler John Hitzfield | Counselor | 120 S Norton St, Mount Vernon, OH 43050-2313 | 2012-03-16 |
1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1275835373 | Ronald M. Carlos | Counselor | 30 Fleetwood Ave, #1-g, Mount Vernon, NY 10552-2865 | 2010-11-22 |
1013234673 | Bobbi Jo Milbrandt | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2010-04-22 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 10550 |
Please comment or provide details below to improve the information on ALPHONSO TRESVONT CHAMPAGNE.
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.