MR. MICHAEL PRESTON (NPI# 1336658756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336658756 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PRESTON |
| Credential | LPC |
| Practice Address |
940 Ebenezer Blvd Madison MS 39110-6002 |
| Mailing Address |
416 Decelle St Jackson MS 39216-3103 |
| Practice Telephone | 3214805000 |
| Mailing Telephone | 3214805000 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2198 | MS | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 001182 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396766143 | Michael C Preston | Emergency Medicine | 1542 Poplar Springs Rd, Ringgold, GA 30736-3333 | 2006-07-21 |
| 1194706523 | Michael Craig Preston | Dentist | 20600 Lake Chabot Rd, Suite 103, Castro Valley, CA 94546-5432 | 2005-11-11 |
| 1073161527 | Michael Preston | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-28 |
| 1376197863 | Michael Edward Preston | Social Worker | 700 Brooksedge Blvd, Westerville, OH 43081-2820 | 2019-08-01 |
| 1053802520 | Michael David Preston | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2018-05-21 |
| 1558892562 | Michael Preston | Counselor | 359 Fenn St, Administrative, Pittsfield, MA 01201-5261 | 2017-03-22 |
| 1609113653 | Michael Preston | Pharmacist | 14130 W Newberry Rd, Newberry, FL 32669-2759 | 2013-01-10 |
| 1578735965 | Michael Sean Preston | Dentist | 350 5th Ave, Suite 6923, New York, NY 10118-0110 | 2008-03-26 |
| 1871673269 | Michael J Preston | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2006-10-17 |
| 1750345781 | Michael H Preston | Pharmacist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-04-14 |
| Street Address |
940 EBENEZER BLVD |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710396205 | Roane Hunter Sr. | Counselor | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2014-08-08 |
| 1154931129 | Kristin Wallace | Social Worker | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2020-08-05 |
| 1740748201 | Betty Lee Spencer | Social Worker | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2019-03-04 |
| 1265998132 | Clinton Aaron Wilson | Counselor | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2019-02-15 |
| 1710443684 | Sarah Linfield Wilson | Counselor | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2019-02-15 |
| 1356898837 | Sarah Beth Walker | Counselor | 940 Ebenezer Blvd, Suite B, Madison, MS 39110 | 2016-09-01 |
| 1982086641 | Turning Point Counseling | Counselor | 940 Ebenezer Blvd, Suite B, Madison, MS 39110 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578770 | Sunshine Holstein | Counselor | 467 Main St Fl 4, Madison, WV 25130-2200 | 2020-11-05 |
| 1619589538 | Pamela Peoples | Counselor | 1888 Main St Ste C-189, Madison, MS 39110-6337 | 2020-08-21 |
| 1487278404 | Gillian Vandien | Counselor | 2701 International Ln Ste 205, Madison, WI 53704-3126 | 2020-06-05 |
| 1134740210 | Amy C Nicholson | Counselor | 720 Hill St Ste 230, Madison, WI 53705-3539 | 2020-04-30 |
| 1902435308 | Jeffrey Joseph Bopp | Counselor | 518 Diving Hawk Trl, Madison, WI 53713-3380 | 2020-04-07 |
| 1881222313 | Christopher Gabriel Krell | Counselor | 133 Se Macon St, Madison, FL 32340-2986 | 2020-03-30 |
| 1174153381 | Kristine Fernerud | Counselor | 77 Legend Hill Rd, Madison, CT 06443-1877 | 2020-01-16 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1124661996 | Lillian A Carroll | Counselor | 502 Pflaum Rd, Madison, WI 53716-2163 | 2019-10-23 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| Find all providers in MADISON | ||||
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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.