REBECCA LYNN BERONJA (NPI# 1386975951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386975951 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN BERONJA |
| Practice Address |
1125 E Milham Ave Ste B Portage MI 49002-3096 |
| Mailing Address |
140 Michigan Ave W Battle Creek MI 49017-3602 |
| Practice Telephone | 2693121446 |
| Mailing Telephone | 2699661460 |
| Mailing Fax Number | 2699797766 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401010825 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE # | 6401010825 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Michigan Ave W, Battle Creek, MI 490173602 | 2699661460 | 2699797766 |
| Street Address |
1125 E MILHAM AVE STE B |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962565671 | Janet E. Luchies | Social Worker | 1125 E Milham Ave Ste B, Portage, MI 49002-3096 | 2006-12-18 |
| 1326545260 | Serene Solutions | Counselor | 1125 E Milham Ave Ste B, Portage, MI 49002-3096 | 2018-04-08 |
| 1043685670 | Molly B Lininger | Social Worker | 1125 E Milham Ave Ste B, Portage, MI 49002-3096 | 2015-12-08 |
| 1831451608 | Karen C Alvarez | Counselor | 1125 E Milham Ave Ste B, Portage, MI 49002-3096 | 2012-06-08 |
| 1639311202 | Gwendolyn Williamson | Social Worker | 1125 E Milham Ave Ste B, Portage, MI 49002-3096 | 2009-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387691 | Chad Robert Westmaas | Counselor | 6100 Newport Rd Ste 2222, Portage, MI 49002-9235 | 2018-05-29 |
| 1154871390 | Dawn Anderson-mueller | Counselor | 322 Dewit St, Portage, WI 53901-2114 | 2016-10-12 |
| 1255768859 | Rebecca Wilson | Counselor | 7649 Woodcrest St, Portage, MI 49024-5059 | 2013-09-27 |
| 1245534478 | Tonya Lynn Swinger | Counselor | 742 Popish Road, Portage, PA 15946-7900 | 2011-01-03 |
| 1992022503 | Paul Maxwell Brinkley | Counselor | 1398 Palmetto Dr., Portage, MI 49002 | 2010-04-23 |
| 1023343738 | Pamela Regina Robinson | Counselor | 1151 W Milham Ave, Portage, MI 49024-1203 | 2009-10-14 |
| 1538298401 | Catholic Charities, Diocese of Gary Inc | Counselor | 2642 Eleanor St, Portage, IN 46368-3634 | 2007-03-05 |
| 1942396205 | Lindsay Page South | Counselor | 1591 W Centre St, Suite 103, Portage, MI 49024 | 2006-10-05 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1891307880 | Sydney M Martin | Counselor | 6130 Lovers Ln, Portage, MI 49002-3026 | 2020-08-20 |
| Find all providers in PORTAGE | ||||
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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.