NORTHEAST GUIDANCE CENTER (NPI# 1710286836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710286836 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GUIDANCE CENTER |
| Practice Address |
2900 Conner St Ste A Detroit MI 48215 |
| Mailing Address |
2900 Conner St Detroit MI 48215 |
| Practice Telephone | 3133081400 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | MS. SHERRY MCRILL (VICE PRESIDENT) |
| Authorized Official Telephone | 3133081400 |
| Authorized Official Credential | LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6401011079 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 6401011079 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1922037134 | Northeast Guidance Center | Psychiatry & Neurology | 12800 E Warren Ave, Detroit, MI 48215-2601 | 2006-07-01 |
| 1235552118 | Northeast Guidance Center | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2014-01-28 |
| 1427336411 | Northeast Guidance Center | Community/Behavioral Health | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2011-07-26 |
| 1053542498 | Northeast Guidance Center | Health Maintenance Organization | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2009-08-03 |
| 1386881050 | Northeast Guidance Center | Health Maintenance Organization | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2009-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST GUIDANCE CENTER | 2900 Conner, Detroit, MI 48215-2061 |
| Street Address |
2900 CONNER ST STE A |
| City | DETROIT |
| State | MI |
| Zip Code | 48215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576378 | Michele Lynn Tucker | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2020-10-22 |
| 1881208890 | Josh Borgelt | Student in an Organized Health Care Education/Training Program | 2900 Conner St, Detroit, MI 48215-2407 | 2020-09-07 |
| 1447803853 | Jacinta L Mason | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2019-07-24 |
| 1912563511 | Kamicha Charisse Hawkins | Peer Specialist | 2900 Conner St, Detroit, MI 48215-2407 | 2019-05-20 |
| 1699237180 | Tanya Y Frazier | Peer Specialist | 2900 Conner St, Detroit, MI 48215-2407 | 2019-04-03 |
| 1720514664 | Elizabeth Sledge | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2017-05-11 |
| 1912368754 | Pekisha Lee Hemlinger | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2016-03-07 |
| 1013300276 | Alton Reid Sr. | Counselor | 2900 Conner St, Detroit, MI 48215-2407 | 2015-03-12 |
| 1235520107 | Geneva Ann Giles | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2015-02-12 |
| 1386042091 | Cynthia Marie Hill-jackson | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2014-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
| 1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
| 1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
| 1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
| 1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
| 1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
| 1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
| 1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
| 1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
| 1831340066 | Asha Kenyatta | Case Manager/Care Coordinator | 13334 E. Warren, Detroit, MI 48215 | 2008-10-07 |
| Find all providers in zip 48215 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1356988562 | Charlotte Yvonne Overall | Community/Behavioral Health | 13334 Longview St, Detroit, MI 48213-1919 | 2019-12-06 |
| 1477110054 | Reymac Home Healthcare LLC | Community/Behavioral Health | 13030 W 7 Mile Rd, Detroit, MI 48235-1335 | 2019-05-20 |
| 1033773528 | Great Futures Family Services Inc | Community/Behavioral Health | 11475 E Outer Dr, Detroit, MI 48224-3226 | 2019-04-30 |
| 1275197527 | Volunteers of America Michigan | Community/Behavioral Health | 3031 W Grand Blvd Ste 465, Detroit, MI 48202-3017 | 2019-04-23 |
| 1891271458 | Bwl Care, LLC | Community/Behavioral Health | 16861 Wyoming St, Detroit, MI 48221-2850 | 2018-07-17 |
| 1780189365 | Fayna T Counseling Services Pllc | Community/Behavioral Health | 5575 Conner St Ste 208, Detroit, MI 48213-6401 | 2018-03-27 |
| 1912400508 | Your Voice and Choice, Pllc | Community/Behavioral Health | 12241 Vaughan St, Detroit, MI 48228-1008 | 2018-03-09 |
| 1508365560 | Zion's Hope Social Services LLC | Community/Behavioral Health | 16860 Gardenview Cir Bldg C, Detroit, MI 48228-4319 | 2018-02-06 |
| 1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
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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.