PATRICK PREVO (NPI# 1487287520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487287520 |
| Entity Type | Individual |
| Full Name | PATRICK PREVO |
| Practice Address |
105 Hall St Traverse City MI 49684-2288 |
| Practice Telephone | 2319224850 |
| Mailing Telephone | 2319224850 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972770386 | Patrick Timothy Prevo | Family Medicine | 535 Nw 9th St, Suite 205, Oklahoma City, OK 73102-1070 | 2008-05-14 |
| Street Address |
105 HALL ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861505810 | Marshall B. Cronican-walker | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2006-08-16 |
| 1467060202 | Jacob Zimmer | Case Manager/Care Coordinator | 105 Hall St, Traverse City, MI 49684-2288 | 2020-07-17 |
| 1184257222 | Lisa Hoffman | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2020-02-18 |
| 1417596560 | Casey Mccotter | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2020-01-06 |
| 1790326957 | Sarah Majerczyk | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-09-30 |
| 1659912814 | Michelle Loeffler-rohraff | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-09-30 |
| 1164078895 | Matthew Bartz | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-08-19 |
| 1164076956 | Bethany Kaiser | Social Worker | 105 Hall St, Traverse City, MI 49684-2288 | 2019-07-30 |
| 1043863731 | Bria L Brunette | Registered Nurse | 105 Hall St, Traverse City, MI 49684-2288 | 2019-07-22 |
| 1720645674 | Rochelle Kreft | Counselor | 105 Hall St, Traverse City, MI 49684-2288 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| 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 |
|---|---|---|---|---|
| 1699285254 | Cari Greiner | Counselor | 515 Barlow St, Traverse City, MI 49686-3303 | 2017-10-09 |
| 1952847667 | Isabel Lorton | Counselor | 800 Cottageview Dr Ste 1072, Traverse City, MI 49684-2322 | 2017-01-19 |
| 1942745880 | Misty Huggard | Counselor | 225 E Arbutus Lake Rd, Traverse City, MI 49696-9449 | 2017-01-02 |
| 1841644937 | William D. Sterzik | Counselor | 116 E 8th St, Traverse City, MI 49684-2524 | 2016-04-15 |
| 1487008579 | Shelley Burnes | Counselor | 747 E 8th St, Traverse City, MI 49686-2662 | 2016-04-15 |
| 1356720379 | Heather Prevo | Counselor | 3238 Greenwood Dr, Traverse City, MI 49686-3814 | 2015-05-22 |
| 1760860332 | Rebecca Aronson | Counselor | 6592 Peninsula Dr, Traverse City, MI 49686-1736 | 2015-05-14 |
| 1093146680 | Amanda Kaye Remai | Counselor | 3197 Logan Valley Rd, Traverse City, MI 49684-4772 | 2013-12-06 |
| 1659623296 | Barbara Lynn Betker Mcintyre | Counselor | 13450 S High Point Dr, Traverse City, MI 49684-5532 | 2012-10-05 |
| 1215296751 | Courtney Whinnery | Counselor | 940 E Eighth St, Traverse City, MI 49686-2893 | 2012-05-03 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.