MARTIN LOUIS MICHELSON


Address: 201 South Walnut Street, Rochester, IL 62563
Phone: 2174987600

MARTIN LOUIS MICHELSON (NPI# 1588752083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588752083
Entity Type Individual
Full Name MARTIN LOUIS MICHELSON
Credential MA LCPC
Practice Address 201 South Walnut Street
Rochester
IL 62563
Mailing Address 201 South Walnut Street
Po Box 18
Rochester
IL 62563
Practice Telephone 2174987600
Mailing Telephone 2174987600
Enumeration Date 2006-10-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IL Behavioral Health & Social Service Providers

Office Location

Street Address 201 SOUTH WALNUT STREET
City ROCHESTER
State IL
Zip Code 62563

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1578679874 Cheryl Sue Swenny Counselor 201 South Walnut, Rochester, IL 62563 2006-08-21
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1205014537 Constance Sue Kayser Neurological Surgery 7111 Minder Rd, Rochester, IL 62563-6122 2008-02-08
1730357518 Lyle Eugene Wacaser Neurological Surgery 7111 Minder Rd, Rochester, IL 62563-6122 2008-02-14
1699743823 Nathan R Corbin Chiropractor 207 S Walnut St, Rochester, IL 62563-7501 2006-03-14
1497009195 Corbin Chiropractic S.c. Chiropractor 207 S Walnut St, Rochester, IL 62563-7501 2012-11-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1538788856 Chastity Murray Counselor 364 Seneca Pkwy, Rochester, NY 14613-1417 2020-04-16
1023637048 Thea Schnase Counselor 13423 Littlerock Rd Sw, Rochester, WA 98579-9749 2020-04-09
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1831722321 Carriola Lee Chambers Counselor 500 Carter St, Rochester, NY 14621-3902 2020-02-13
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Competitor

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City ROCHESTER
Zip Code 62563

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Dataset Information

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.

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