MR. MICHAEL DODGE (NPI# 1548512650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548512650 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DODGE |
| Practice Address |
901 W 3rd St Flora IL 62839-1287 |
| Mailing Address |
504 Micah Dr Drawer M Olney IL 62450-4720 |
| Practice Telephone | 6186622871 |
| Practice Fax Number | 6186624748 |
| Mailing Telephone | 6183954506 |
| Mailing Fax Number | 6183954507 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042659 | Michael Dodge | Behavioral Analyst | 310 Mitchel Field Way, Garden City, NY 11530-5054 | 2015-05-11 |
| Street Address |
901 W 3RD ST |
| City | FLORA |
| State | IL |
| Zip Code | 62839-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245779198 | Amanda Horvet | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2017-02-13 |
| 1700273455 | Meghan Lynch | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2015-04-21 |
| 1083026553 | Tina Mcgee | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2014-06-02 |
| 1659689784 | Gary R Whitehead | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2010-09-23 |
| 1790935047 | Shannon Goering | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2008-09-23 |
| 1831368380 | S E Illinois Counseling Ctrs Inc | Community/Behavioral Health | 901 W 3rd St, Flora, IL 62839-1287 | 2008-02-28 |
| 1457539330 | South Eastern Illinois Counseling Center Inc | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2008-02-04 |
| 1568650521 | Kenneth Lane | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2007-10-04 |
| 1841487865 | Ashley Vanblaricum | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083026553 | Tina Mcgee | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2014-06-02 |
| 1568650521 | Kenneth Lane | Counselor | 901 W 3rd St, Flora, IL 62839-1287 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
| 1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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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.