JAZMIN GUY-WALLACE (NPI# 1356981781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356981781 |
| Entity Type | Individual |
| Full Name | JAZMIN GUY-WALLACE |
| Practice Address |
401 Howard St Kalamazoo MI 49001-2748 |
| Practice Telephone | 2693444458 |
| Mailing Telephone | 2693444458 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
401 HOWARD ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447383500 | Victory Clinical Services LLC | Clinic/Center | 401 Howard St, Kalamazoo, MI 49001-2748 | 2007-03-14 |
| 1871193821 | Shyla Semaj Lipsey | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2020-10-29 |
| 1497364772 | Melanie Corrine Lozer | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2020-07-23 |
| 1487202602 | Reina Roznowski | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2019-08-30 |
| 1700434917 | Janay Christian | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2019-08-30 |
| 1215591615 | Holli Taylor | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2019-05-01 |
| 1346711066 | Stephanie Poulos | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-12-06 |
| 1467922344 | Heather Olech | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-12-04 |
| 1972088003 | Corrina Lashae Edmonson | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-09-25 |
| 1811478639 | Justice Nicole Nemitz | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316451560 | Anta Lutz Ling | Counselor | 1128 S Westnedge Ave, Kalamazoo, MI 49008-1350 | 2017-11-27 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1265987531 | Carolyn Gabriel | Counselor | 537 Chicago Ave, Kalamazoo, MI 49048-2021 | 2016-08-16 |
| 1386004489 | Brenda Kay Henry | Counselor | 1016 N Pitcher St, Kalamazoo, MI 49007-3548 | 2016-03-02 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1053677997 | Addie B Carter | Counselor | 5617 Blue Meadow Cir, Kalamazoo, MI 49048-8225 | 2012-04-04 |
| 1174899421 | Ashley Carter Youngblood | Counselor | 4155 S 9th St, Kalamazoo, MI 49009-8120 | 2012-03-30 |
| 1063646875 | Kevin Dale Baker | Counselor | 2226 Homecrest Ave, Kalamazoo, MI 49001 | 2009-05-07 |
| 1588877146 | Suzanne Christine Meinke | Counselor | 6963 W Kl Ave Ste A, Kalamazoo, MI 49009-8043 | 2007-05-08 |
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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.