MARCELENE KUBACKI REDDING (NPI# 1659883155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659883155 |
| Entity Type | Individual |
| Full Name | MARCELENE KUBACKI REDDING |
| Credential | ED.S, M.ED.,NCC |
| Practice Address |
1916 University Ave Oxford MS 38655-4114 |
| Mailing Address |
108 Morgan Ln Oxford MS 38655-6110 |
| Practice Telephone | 6622811306 |
| Mailing Telephone | 9014860161 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1916 UNIVERSITY AVE |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477649218 | Thomas D Fowlkes | Emergency Medicine | 1916 University Ave, Oxford, MS 38655-4114 | 2006-10-05 |
| 1245747526 | Brian Simmons | Social Worker | 1916 University Ave, Oxford, MS 38655-4114 | 2018-01-08 |
| 1548799000 | Deja Jawanda Washington | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-06-08 |
| 1215476569 | Martinese Fitzpatrick | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-02-20 |
| 1487193884 | Larry R. Wills | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2017-02-17 |
| 1649635111 | Emily Grace Ames | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2015-12-28 |
| 1841661899 | Autum Pierce | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2015-10-16 |
| 1619353877 | Oxford Treatment Center, LLC | Clinic/Center | 1916 University Ave, Oxford, MS 38655-4114 | 2015-08-10 |
| 1720404916 | Doris Meux | Counselor | 1916 University Ave, Oxford, MS 38655-4114 | 2014-03-12 |
| 1477817526 | Oxford Centre Physician Group, P.a. | Psychologist | 1916 University Ave, Oxford, MS 38655-4114 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850508 | Butler County Community Health Consortium, Inc. | Counselor | 3260 Oxford Millville Rd Ste B, Oxford, OH 45056-9430 | 2020-10-28 |
| 1356951586 | Agape Wellness Group | Counselor | 2264 Baltimore Pike, Oxford, PA 19363-4007 | 2020-08-03 |
| 1982232096 | Kenya Grace Bledsoe | Counselor | 669 Centerpointe Cv, Oxford, MS 38655-7720 | 2020-04-01 |
| 1033680350 | Pathways Counseling Service, LLC | Counselor | 105 Westminster Dr, Oxford, MS 38655-6006 | 2018-12-14 |
| 1275008195 | Wellness Center of Oxfrod | Counselor | 350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 | 2018-10-07 |
| 1689155111 | Carolyn S. Jenkins | Counselor | 304b Enterprise Dr, Oxford, MS 38655-2762 | 2018-08-23 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1174021349 | Amanda Sharron Lober | Counselor | 4313 E County Road 466 # 202f, Oxford, FL 34484-3595 | 2018-01-23 |
| 1073020491 | Andrea Denice Gregg | Counselor | 2865 Us Highway 78 W, Oxford, AL 36203-4524 | 2018-01-08 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in OXFORD | ||||
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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.