MR. KYLE LEE RASMUSSEN (NPI# 1447436662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447436662 |
| Entity Type | Individual |
| Full Name | MR. KYLE LEE RASMUSSEN |
| Credential | MS LLP |
| Practice Address |
1200 N West Ave Ste 300 Jackson MI 49202-2180 |
| Mailing Address |
538 S 1st St Ann Arbor MI 48103-4948 |
| Practice Telephone | 5177891234 |
| Practice Fax Number | 5177847040 |
| Mailing Telephone | 7347613751 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6301006628 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995177 | Kyle Robert Rasmussen | Nurse Practitioner | 3433 Floyd Ave, Richmond, VA 23221-2710 | 2019-11-06 |
| 1386283802 | Kyle Rasmussen | Physical Therapist | 100 Holland Gln, Escondido, CA 92026-1354 | 2020-01-01 |
| 1003306952 | Kyle Jon Rasmussen | Dentist | 217 Nassau St, Saint Peter, MN 56082-2055 | 2018-05-16 |
| Street Address |
1200 N WEST AVE STE 300 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147894 | Sulafa Hassan Elshowaya | Dietitian, Registered | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2020-09-01 |
| 1720605694 | Shelby Leigh Havens | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2020-06-26 |
| 1497397046 | Jasmine Erica Jones | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-10-16 |
| 1538718721 | Olivia Jewell | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2174 | 2019-09-10 |
| 1922656826 | Lauren Alexandria Steers | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-09-04 |
| 1184288433 | Nathan Michael Horton | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-04-23 |
| 1376008045 | Roxanne Waldron | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-02-06 |
| 1063983781 | Ebony Hicks | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2018-12-06 |
| 1104393792 | Shayla Nicole Mccray | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2018-11-01 |
| 1528551371 | Riley Caudill Cornelison | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2174 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
| 1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
| 1184242711 | New Life Goals, LLC | Counselor | 504 Cooper Rd, Jackson, MS 39212-4704 | 2020-07-09 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1962023812 | Kandace Ross | Counselor | 528 Woodbury Rd, Jackson, MS 39206-4830 | 2020-05-01 |
| 1629600945 | Modern Hope of Ms,llc | Counselor | 5825 Kings Pl, Jackson, MS 39211-3321 | 2020-02-05 |
| 1003447657 | Chandler & Associates, LLC | Counselor | 1900 Dunbarton Dr Ste G, Jackson, MS 39216-5015 | 2020-02-03 |
| 1659910701 | Laura E Rutledge | Counselor | 1437 Old Square Rd Ste 101, Jackson, MS 39211-5533 | 2020-01-06 |
| 1154960961 | Timothy A Norris | Counselor | 5026 Raintree Dr, Jackson, MS 39272-5753 | 2019-12-26 |
| 1982243838 | Paula Jane Blocker | Counselor | 401 West St Ste 117, Jackson, MN 56143-1219 | 2019-12-24 |
| Find all providers in JACKSON | ||||
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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.