BERNA WELLING (NPI# 1578915682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578915682 |
| Entity Type | Individual |
| Full Name | BERNA WELLING |
| Practice Address |
12265 James St Holland MI 49424-8613 |
| Practice Telephone | 6163935600 |
| Practice Fax Number | 6163935687 |
| Mailing Telephone | 6163935600 |
| Mailing Fax Number | 6163935687 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
12265 JAMES ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619932381 | County of Ottawa | Clinic/Center | 12265 James St, Holland, MI 49424-8613 | 2006-04-18 |
| 1225641004 | Kaeding Skelton | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2020-08-31 |
| 1528684701 | Kerri Ann Vanhorn | Case Manager/Care Coordinator | 12265 James St, Holland, MI 49424-8613 | 2020-06-23 |
| 1942822721 | Lisa Marie Fox | Counselor | 12265 James St, Holland, MI 49424-8613 | 2020-05-14 |
| 1811547714 | Tammy Loggins | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-09-13 |
| 1487219226 | Raquel Hall | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-05-07 |
| 1962976399 | Ireana Destiney | Counselor | 12265 James St, Holland, MI 49424-8613 | 2019-01-18 |
| 1063985950 | Rebecca Wyngarden | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2019-01-03 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1902392145 | Melody Ermatinger | Registered Nurse | 12265 James St, Holland, MI 49424-8613 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1992314728 | Willie Earl Feggins | Peer Specialist | 370 Country Club Rd, Holland, MI 49423-8303 | 2020-07-28 |
| 1770192429 | Nelson Serrano | Peer Specialist | 370 Country Club Rd Ste A, Holland, MI 49423-8303 | 2020-07-29 |
| 1821645995 | Linda Sutton | Peer Specialist | 350 S Irwin Rd, Holland, OH 43528 | 2019-08-22 |
| 1457895526 | Jennifer Cullom | Peer Specialist | 12265 James St, Holland, MI 49424-8613 | 2016-12-08 |
| 1396297966 | Jack Davis | Peer Specialist | 665 136th Ave, Suite 50, Holland, MI 49424-1897 | 2016-10-31 |
| 1437601192 | Christopher Deleon | Peer Specialist | 665 136th Ave, Holland, MI 49424-1897 | 2016-10-28 |
| 1942651146 | Matt Parrish | Peer Specialist | 12265 James St, Holland, MI 49424-8613 | 2016-06-29 |
| 1659745685 | Barbara Nelson | Peer Specialist | 412 Century Ln, Holland, MI 49423-4285 | 2015-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026284 | Leah Mae Sindone | Peer Specialist | 22324 Derby Rd, Woodhaven, MI 48183-3700 | 2020-09-04 |
| 1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
| 1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
| 1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
| 1235768680 | Matthew Milz | Peer Specialist | 145o S Lapeer Rd, Oxford, MI 48371-4982 | 2020-04-07 |
| 1558996132 | Camille Jewell Jackson | Peer Specialist | 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 | 2020-03-04 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 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.