DR. TIMOTHY J TEAGUE (NPI# 1588706972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588706972 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J TEAGUE |
| Credential | PH.D. |
| Practice Address |
16159 Hamilton Station Rd Waterford VA 20197-1106 |
| Practice Telephone | 7035877230 |
| Mailing Telephone | 7035877230 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0701001459 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PROFESSIONAL COUNSELOR | 0701001459 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346501475 | Timothy John Teague | Audiologist | 10766 Montgomery Rd, Cincinnati, OH 45242-1999 | 2012-06-05 |
| Street Address |
16159 HAMILTON STATION RD |
| City | WATERFORD |
| State | VA |
| Zip Code | 20197-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790988715 | Child & Family Healing House | Psychologist | 14688 Nina Ct, Waterford, VA 20197-1635 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1285241323 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 125 Cross Rd, Waterford, CT 06385-1203 | 2020-09-23 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1255947750 | Kiera Kenyon | Specialist/Technologist | 2 Short 6th St Apt B, Waterford, NY 12188-2223 | 2020-09-20 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1710591169 | Allison Jane Harry | Specialist/Technologist | 3258 Whitfield Ct, Waterford, MI 48329-2767 | 2020-09-02 |
| Find all providers in WATERFORD | ||||
| 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 |
|---|---|---|---|---|
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1750895736 | Cindy Lynn Mcgraw | Counselor | 3455 Whitfield Dr, Waterford, MI 48329-1159 | 2017-11-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1588055057 | Goods Counseling Services LLC | Counselor | 412 High St., Waterford, PA 16441 | 2015-02-05 |
| 1235527334 | Nadia Dakoske | Counselor | 7178 Magnolia Ln, Waterford, MI 48327-4421 | 2014-12-26 |
| 1083963375 | Jeanette Elaine Owens | Counselor | 3525 Elizabeth Lake Rd, Waterford, MI 48328-3087 | 2012-09-03 |
| 1164660858 | Wendy Shawn Cook | Counselor | 2891 Reflection Ave, Waterford, MI 48328-2675 | 2009-02-03 |
| 1043395684 | John M Gonzalez | Counselor | 567 Vauxhall Street Ext. Suite 207, Waterford, CT 06385 | 2006-10-25 |
| 1245864099 | Kathryn Anne Marburger | Counselor | 1255 N Oakland Blvd, Waterford, MI 48327-1545 | 2020-03-02 |
| Find all providers in WATERFORD | ||||
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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.