MICHELLE LYN PENFIELD FOWLER (NPI# 1518516715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518516715 |
| Entity Type | Individual |
| Full Name | MICHELLE LYN PENFIELD FOWLER |
| Credential | MA, LAC |
| Practice Address |
3048 E Baseline Rd Ste 107 Mesa AZ 85204-7287 |
| Mailing Address |
4132 E Juanita Ave Gilbert AZ 85234-0344 |
| Practice Telephone | 4807799155 |
| Mailing Telephone | 4807799155 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-17978 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093352817 | Michelle Snell Fowler | Social Worker | 356 Middle Country Rd Ste 104, Coram, NY 11727-4433 | 2019-12-01 |
| 1083276729 | Michelle Marie Fowler | Licensed Practical Nurse | 15 6th St, Clintonville, WI 54929-1624 | 2019-07-02 |
| 1962889774 | Michelle Fowler | Specialist/Technologist | 16204 Hocking Blvd, Brookpark, OH 44142-2735 | 2015-04-30 |
| 1811123144 | Michelle Renee Fowler | Social Worker | 618 Parsons Rd, Christiana, TN 37037-6128 | 2009-06-01 |
| 1407810492 | Michelle B Fowler | Physical Therapist | 6358 Edgemere Blvd, El Paso, TX 79925-3517 | 2006-04-14 |
| 1144821034 | Michelle Lee Fowler | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-11-05 |
| 1326329798 | Michelle Nicole Fowler | Emergency Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2011-08-30 |
| 1841463858 | Michelle Ann Fowler | Nurse Anesthetist, Certified Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2008-04-10 |
| 1003005554 | Michelle Fowler | Counselor | 398 Hospital Rd, Sylva, NC 28779-5196 | 2007-10-22 |
| 1871683672 | Michelle Delong Fowler | Physical Therapist | 927 Grace Ave, Panama City, FL 32401-2521 | 2006-10-13 |
| Street Address |
3048 E BASELINE RD STE 107 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-7287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260781 | Kira Butler | Marriage & Family Therapist | 3048 E Baseline Rd Ste 107, Mesa, AZ 85204-7287 | 2015-11-16 |
| 1912557554 | Amy Elizabeth Johns | Marriage & Family Therapist | 3048 E Baseline Rd Ste 107, Mesa, AZ 85204-7287 | 2019-09-16 |
| 1174182778 | Jordan R Miller | Counselor | 3048 E Baseline Rd Ste 107, Mesa, AZ 85204-7287 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1467060350 | Torch Wellness and Consulting LLC | Counselor | 3707 E Southern Ave Ste 1029, Mesa, AZ 85206-6202 | 2020-07-16 |
| 1750904736 | Colin Bennett | Counselor | 1234 S Power Rd Ste 100, Mesa, AZ 85206-3740 | 2020-05-25 |
| 1386267508 | Devyn H Davis | Counselor | 30 E Brown Rd Unit 1054, Mesa, AZ 85201-3527 | 2020-05-21 |
| 1376165266 | Therapy LLC | Counselor | 1818 E Southern Ave Ste 3a, Mesa, AZ 85204-5247 | 2020-05-13 |
| 1902432107 | Connie Rae Parker | Counselor | 1955 S Val Vista Dr, Mesa, AZ 85204-7370 | 2020-03-19 |
| 1265065544 | Phillip Micheal Garrison | Counselor | 1741 S Clearview Ave Unit 7, Mesa, AZ 85209-4005 | 2020-02-14 |
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1053951913 | Candace Delight Cook | Counselor | 3707 E Southern Ave Ste 2016, Mesa, AZ 85206-6213 | 2020-01-08 |
| Find all providers in MESA | ||||
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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.