HEATHER SUE BLEEKE (NPI# 1467995035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467995035 |
| Entity Type | Individual |
| Full Name | HEATHER SUE BLEEKE |
| Other Name | MISS HEATHER SUE JOHNON |
| Credential | MA |
| Practice Address |
830 Ivy Creek Cv Fort Wayne IN 46804-3581 |
| Practice Telephone | 2604324489 |
| Mailing Telephone | 2604324489 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
830 IVY CREEK CV |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114401080 | Robin Gene Vandeventer | Counselor | 2200 Lake Ave Ste 225, Fort Wayne, IN 46805-5364 | 2018-09-18 |
| 1023544533 | Emily Martin | Counselor | 4646 W Jefferson Blvd Ste 100, Fort Wayne, IN 46804-6832 | 2017-05-03 |
| 1437604014 | Donald Luedke | Counselor | 427 W Washington Blvd, Fort Wayne, IN 46802-2915 | 2016-08-24 |
| 1306208400 | Tracy Cain | Counselor | 431 Fairmont Place, Fort Wayne, IN 46808-1116 | 2016-03-28 |
| 1144600982 | Megan Kostrubanic | Counselor | 2420 N Coliseum Blvd Ste 206, Fort Wayne, IN 46805-3139 | 2015-06-07 |
| 1336579754 | Interdisciplinary Community Autism Network, Inc | Counselor | 409 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3600 | 2013-11-21 |
| 1477823151 | Gregory Wayne Isch | Counselor | 7230 Engle Rd Ste 305, Fort Wayne, IN 46804 | 2012-01-11 |
| 1710120753 | Sandra Thomas | Counselor | 5440 Thornbriar Ln, Fort Wayne, IN 46835-3886 | 2009-04-07 |
| 1508034091 | John Patrick Nolan | Counselor | 6015 Dichotomy Ct, Fort Wayne, IN 46835-2063 | 2008-02-18 |
| 1669526653 | Tyler James Zielasko | Counselor | 3894 New Vision Dr, Fort Wayne, IN 46845-1708 | 2007-01-23 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on HEATHER SUE BLEEKE.
| 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.