JAMI WELLER (NPI# 1407321128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407321128 |
| Entity Type | Individual |
| Full Name | JAMI WELLER |
| Practice Address |
3300 36th St Se Grand Rapids MI 49512-2810 |
| Practice Telephone | 2317995223 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3300 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215047667 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2006-08-30 |
| 1396345005 | Khrystal Lewis | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-10-30 |
| 1528675105 | Aleah Caizza | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-28 |
| 1356958144 | Joyce Marie Mason | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-25 |
| 1689280638 | Aaron Jeremy Ackley | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-16 |
| 1588270417 | Hayley Landstra | Behavior Technician | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-09-16 |
| 1972114288 | Ashley Pecott | Counselor | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-11 |
| 1376154856 | Zorica Baka | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-10 |
| 1588274336 | Jenna Beson | Student in an Organized Health Care Education/Training Program | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-06 |
| 1821608795 | Evan Helene Pellow-robbins | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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 |
|---|---|---|---|---|
| 1588280044 | Eliza Glen Beird | Peer Specialist | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-06-22 |
| 1669097945 | Kevin Ryan Beedon | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-06-11 |
| 1376179325 | Patricia Kregg | Peer Specialist | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-03-20 |
| 1063057248 | Janelle Nichole Vaness | Peer Specialist | 1101 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-11-12 |
| 1881151397 | Lindsay Arambula | Peer Specialist | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-02-21 |
| 1144712118 | Carrie Anne Ross | Peer Specialist | 324 Lyon St Ne, Grand Rapids, MI 49503-5607 | 2018-06-05 |
| 1083106173 | Erica L Hernly | Peer Specialist | 324 Lyon St Ne, Grand Rapids, MI 49503-5607 | 2018-06-04 |
| 1376035477 | Amanda Kathryn Ziolkowski | Peer Specialist | 324 Lyon St Ne, Grand Rapids, MI 49503-5607 | 2018-06-04 |
| 1104336759 | Lindsay Lee Belcastro | Peer Specialist | 1939 S Division Ave., Grand Rapids, MI 49507 | 2017-10-10 |
| 1225577232 | Mary Bouwhuis | Peer Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2017-02-23 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on JAMI WELLER.
| 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.