LAUREN SUSANNA CUNKELMAN (NPI# 1699397091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699397091 |
Entity Type | Individual |
Full Name | LAUREN SUSANNA CUNKELMAN |
Credential | MA, R-DMT, LPC, NCC |
Practice Address |
3905 Ford Rd Ste 6 Philadelphia PA 19131-2824 |
Mailing Address |
255 Lowrys Ln Apt 10 Bryn Mawr PA 19010-1316 |
Practice Telephone | 2152202192 |
Mailing Telephone | 7245753465 |
Enumeration Date | 2020-05-08 |
Last Update Date | 2020-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
PC012072 | PA | Behavioral Health & Social Service Providers |
Street Address |
3905 FORD RD STE 6 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19131-2824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730340134 | Shane Templar Eynon | Psychologist | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2008-06-19 |
1467074583 | Jillian Naomi Shprecher | Social Worker | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2020-05-12 |
1326660705 | Lisette Sanchez | Social Worker | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2020-05-08 |
1235751694 | Meli'sa Danielle Grier | Counselor | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2020-05-08 |
1912529405 | Kristin Maurer | Counselor | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2020-05-07 |
1124667472 | Kristen Watkins | Counselor | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2020-01-04 |
1639645229 | Heather Suzanne Ziegenmeyer | Counselor | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2018-10-22 |
1740792464 | Rachel Elizabeth Greene | Counselor | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2017-11-03 |
1003274101 | Heather Alters | Social Worker | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2016-02-03 |
1083086342 | Julie Laderberg | Social Worker | 3905 Ford Rd Ste 6, Philadelphia, PA 19131-2824 | 2015-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
Find all providers in zip 19131 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
1013516806 | Being, LLC | Counselor | 1736 Kendrick St, Philadelphia, PA 19152-1816 | 2020-10-22 |
1821605809 | Jessica Briddell-hasben | Counselor | 829 Grakyn Ln, Philadelphia, PA 19128-2005 | 2020-09-24 |
1538776653 | Eric Brown | Counselor | 8227 Thouron Ave, Philadelphia, PA 19150-2018 | 2020-09-24 |
1740896661 | Keya Middleton | Counselor | 2030 N 56th St, Philadelphia, PA 19131-3132 | 2020-09-16 |
1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19131 |
Please comment or provide details below to improve the information on LAUREN SUSANNA CUNKELMAN.
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.