LEON GOULD (NPI# 1396370037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396370037 |
| Entity Type | Individual |
| Full Name | LEON GOULD |
| Practice Address |
4318 Miller Rd Flint MI 48507-1267 |
| Mailing Address |
8759 Clinton Macon Rd Clinton MI 49236-9572 |
| Practice Telephone | 8102499927 |
| 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 | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
4318 MILLER RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134138100 | Phillip Sheridan Mosby | Social Worker | 4318 Miller Rd, Flint, MI 48507-1267 | 2006-08-07 |
| 1275155871 | Ashleigh R. Merryman | Social Worker | 4318 Miller Rd, Flint, MI 48507-1267 | 2020-05-18 |
| 1952946410 | Rommey Saad | Case Manager/Care Coordinator | 4318 Miller Rd, Flint, MI 48507-1267 | 2019-11-08 |
| 1356986814 | Amber Collins | Case Manager/Care Coordinator | 4318 Miller Rd, Flint, MI 48507-1267 | 2019-11-08 |
| 1801439112 | Tyler Blackstock | Case Manager/Care Coordinator | 4318 Miller Rd, Flint, MI 48507-1267 | 2019-10-21 |
| 1164063087 | Bianca Fields | Social Worker | 4318 Miller Rd, Flint, MI 48507-1267 | 2019-10-02 |
| 1982116364 | Julia Arce | Counselor | 4318 Miller Rd, Flint, MI 48507-1267 | 2017-10-25 |
| 1124368634 | Shatina Marks | Counselor | 4318 Miller Rd, Flint, MI 48507-1267 | 2013-02-20 |
| 1528344371 | Anna Maria Dillaway | Counselor | 4318 Miller Rd, Flint, MI 48507-1267 | 2011-10-25 |
| 1326285156 | Ayana Fordham | Counselor | 4318 Miller Rd, Flint, MI 48507-1267 | 2009-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1952870263 | Joshua Enrique Gonzalez | Peer Specialist | 1320 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-11-15 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1033717871 | Stephanie Creel | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-14 |
| 1932706348 | Sara Vanessa Williams | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-08 |
| 1073126116 | Vederia L Jenkins | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-08-28 |
| 1649880246 | Meghan Peake | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1265042857 | Dana Witzka | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1558971143 | Raina Patterson | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| Find all providers in FLINT | ||||
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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.