HEATHER JANE DANNISON (NPI# 1679985873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679985873 |
| Entity Type | Individual |
| Full Name | HEATHER JANE DANNISON |
| Other Name | HEATHER JANE WAGNER |
| Credential | PHD, LP, LPC |
| Practice Address |
4029 W Main St Kalamazoo MI 49006-2763 |
| Mailing Address |
604 S Rose St Kalamazoo MI 49007-5273 |
| Practice Telephone | 2696925321 |
| Practice Fax Number | 2693127328 |
| Mailing Telephone | 5172568476 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401014264 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301016125 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI 1 | 1679985873 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 E Chart St, Plainwell, MI 490801768 | 2696856363 | |
| 604 S Rose St, Kalamazoo, MI 490075273 | 2696925321 | 2693127328 |
| Street Address |
4029 W MAIN ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961814 | Katherine M. Walden | Psychiatry & Neurology | 4029 W Main St, Kalamazoo, MI 49006-2763 | 2006-04-17 |
| 1962883686 | Cortney Modelewski | Counselor | 4029 W Main St, Kalamazoo, MI 49006-2763 | 2015-06-18 |
| 1629220215 | Sonya Sutherland | Occupational Therapist | 4029 W Main St, Kalamazoo, MI 49006-2763 | 2008-10-15 |
| 1386821528 | Angela Isbell | Occupational Therapist | 4029 W Main St, Kalamazoo, MI 49006-2763 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073054359 | Life Launch Counseling, LLC | Psychologist | 3030 S 9th St Ste 3f, Kalamazoo, MI 49009-9456 | 2017-03-20 |
| 1841565413 | Jessica R Hoekstra | Psychologist | 5700 W Michigan Ave, Kalamazoo, MI 49009 | 2012-03-15 |
| 1245516970 | Leatrice Renee Brooks | Psychologist | 5016 Coopers Landing Dr, Apt 3d, Kalamazoo, MI 49004-7647 | 2011-10-26 |
| 1588837736 | Diane M Kanous | Psychologist | 3030 S. 9th St., Suite 3e, Kalamazoo, MI 49009 | 2008-04-09 |
| 1922213370 | Patricia Huston Kamerman | Psychologist | 900 Peeler Street, Kalamazoo, MI 49008 | 2007-05-11 |
| 1437371242 | Linda Sue Williams | Psychologist | 204 Balch Street, Kalamazoo, MI 49001 | 2007-05-02 |
| 1386709483 | Janet Trudee Tarkowski | Psychologist | 4021 W Main St, Suite 100, Kalamazoo, MI 49006-3706 | 2006-12-27 |
| 1083797344 | Kimberly Ann Hiatt | Psychologist | 5340 Holiday Ter Ste 3, Kalamazoo, MI 49009-2196 | 2006-10-23 |
| 1548367493 | Mary Theresa Zirpoli | Psychologist | Child and Family Psychological Services, 5340 Holiday Terrace, Kalamazoo, MI 49009-2196 | 2006-09-20 |
| 1497860092 | William Douglas Brooks | Psychologist | 4415 Duke St, Kalamazoo, MI 49008-3224 | 2006-08-21 |
| Find all providers in KALAMAZOO | ||||
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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.