BRENDA JEAN MATHER (NPI# 1669949384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669949384 |
| Entity Type | Individual |
| Full Name | BRENDA JEAN MATHER |
| Practice Address |
655 E Cedar Ave Gladwin MI 48624-2215 |
| Mailing Address |
4166 Bay Ave Beaverton MI 48612-8819 |
| Practice Telephone | 9894269295 |
| Practice Fax Number | 9894262251 |
| Mailing Telephone | 9894353660 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 4076219 | MI | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 6401014036 | MI | Behavioral Health & Social Service Providers |
| Street Address |
655 E CEDAR AVE |
| City | GLADWIN |
| State | MI |
| Zip Code | 48624-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487668232 | Sara Marie Miceli-sorensen | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2006-07-28 |
| 1225669542 | Juliette Leilani Nielsen | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2020-01-27 |
| 1376193359 | Elizabeth Ann Scott | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2019-09-12 |
| 1235789223 | Corey William Hartwell | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2019-09-12 |
| 1932756996 | Ferren Nicole Rittenburg | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2019-08-23 |
| 1427554328 | Ester Jean Smith | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2018-04-01 |
| 1790229813 | Jon Guckian | Peer Specialist | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2016-12-08 |
| 1235672056 | Ruth Johnson | Peer Specialist | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2016-11-28 |
| 1821450719 | Sara Jean Wuelfing | Registered Nurse | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2016-03-22 |
| 1265802177 | Emily Voelker | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558889162 | Jacob Cameron Shell | Specialist/Technologist | 4403 Betty Lee Blvd, Gladwin, MI 48624 | 2017-09-03 |
| 1750704268 | Monica Maebel Weaver | Licensed Practical Nurse | 1426 North St. Street, Affordable Nursing Inc, Gladwin, MI 48624 | 2014-02-04 |
| 1417397407 | Richard Allen White | Registered Nurse | 655 East Cedar Avenue, Gladwin, MI 48624 | 2013-07-05 |
| 1023453040 | Amy Rebecca Brockschmidt | Counselor | Ten16 Recovery Network, 1302 Chatterton St. 2, Gladwin, MI 48624 | 2013-05-03 |
| 1447558341 | Erika Dianis | Psychologist | 655 E. Cedar Ave., Gladwin, MI 48624 | 2011-03-02 |
| 1457519456 | Bont & Medical Products Inc | Durable Medical Equipment & Medical Supplies | 895 N M18 Suite 2, Gladwin, MI 48624 | 2008-05-27 |
| 1346424454 | Regional Dialysis Services Inc | Clinic/Center | 673 Quarter Street, Gladwin, MI 48624 | 2007-12-26 |
| 1548476070 | Sambamurti . Srinivasan | Family Medicine | 602 Riverview Ct, Gladwin, MI 48624 | 2007-05-14 |
| 1295957850 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1234 W Cedar Ave, Gladwin, MI 48624 | 2007-05-03 |
| 1710063755 | Janet Flynn | Registered Nurse | 1207 N Spring St, Gladwin, MI 48624 | 2006-10-31 |
| Find all providers in zip 48624 | ||||
| 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 |
|---|---|---|---|---|
| 1972112761 | Kayla Diane Moebius | Counselor | 1638 Perth Ct, Gladwin, MI 48624-8101 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
| 1316548720 | Christopher Klein | Counselor | Christopher Klein, 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-11-03 |
| 1851991640 | Crystal Lee Stewart | Counselor | 20500 Eureka Rd Ste 200, Taylor, MI 48180-6394 | 2020-10-29 |
| 1538768213 | The Made Institute | Counselor | 503 Garland St, Flint, MI 48503-2523 | 2020-10-22 |
| 1154938801 | Keenya Harris | Counselor | 1496 Mapleview St Se, Kentwood, MI 49508-4838 | 2020-09-27 |
| 1851908636 | Jearald Dudley II | Counselor | 47 Carriage Way, Ypsilanti, MI 48197-7430 | 2020-09-25 |
| 1407462450 | The Root Causation LLC | Counselor | 2483 S Linden Rd Ste 50, Flint, MI 48532-5435 | 2020-09-16 |
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1215542154 | Tamara Latrice Butler | Counselor | 27085 Gratiot Ave Ste 108, Roseville, MI 48066-2984 | 2020-09-08 |
| 1205449162 | Katherine Ann Huttenlocher | Counselor | 2835 Carpenter Rd Ste 5, Ann Arbor, MI 48108-1172 | 2020-08-28 |
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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.