DOREEN THEAKSTON (NPI# 1457864688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457864688 |
| Entity Type | Individual |
| Full Name | DOREEN THEAKSTON |
| Practice Address |
37450 Schoolcraft Rd Livonia MI 48150-1082 |
| Practice Telephone | 7344584601 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
37450 SCHOOLCRAFT RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386853075 | Crystal Waters | Social Worker | 37450 Schoolcraft Rd, Suite 110, Livonia, MI 48150-1082 | 2007-05-21 |
| 1598362808 | Chevon Carter | Registered Nurse | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2020-10-08 |
| 1104438753 | Francesco S Iaquinta Jr. | Counselor | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2020-08-17 |
| 1417581695 | Chad Edward Browning | Counselor | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2020-02-26 |
| 1790322865 | Stephanie Lynn Brady | Registered Nurse | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-12-07 |
| 1558923607 | Ta-kara Roquemore | Social Worker | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-06-28 |
| 1538720677 | Kyla Nicole Skiffer | Social Worker | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-06-27 |
| 1083172605 | Kimberly Turner | Counselor | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-03-04 |
| 1629534888 | Linda Pippen Melton | Licensed Practical Nurse | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-02-13 |
| 1508335795 | Syreeta Boone | Licensed Practical Nurse | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2018-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| 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 |
|---|---|---|---|---|
| 1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
| 1487298899 | Eugene Allan Dennis | Peer Specialist | 37450 Schoolcraft Rd # 101, Livonia, MI 48150-1082 | 2019-10-30 |
| 1609247162 | Donna M Risi | Peer Specialist | 14384 Sunset St, Livonia, MI 48154-4364 | 2015-10-09 |
| 1902438161 | Keith Edward Graham | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-02-06 |
| 1053957530 | Megam Kardos | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-11-20 |
| 1659922714 | Monica Grace Denny | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-09-20 |
| 1174180871 | Emily Wray | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-05-29 |
| 1407338791 | Gina Terasa Badami | Peer Specialist | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2018-09-04 |
| 1861984288 | Brooke Ashleigh Newman | Peer Specialist | 33505 Schoolcraft Rd, Livonia, MI 48150-1630 | 2018-06-01 |
| 1194224816 | Christine Marie Jewell | Peer Specialist | 33505 Schoolcraft Rd, Livonia, MI 48150-1630 | 2018-02-08 |
| Find all providers in LIVONIA | ||||
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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.