VICTOR DEAN COLVARD (NPI# 1801426457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801426457 |
| Entity Type | Individual |
| Full Name | VICTOR DEAN COLVARD |
| Practice Address |
199 Herlong Ave S Rock Hill SC 29732-1186 |
| Practice Telephone | 8033236387 |
| Mailing Telephone | 8033236387 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
199 HERLONG AVE S |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
| 1093339707 | Alicia Wilks | Counselor | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-05-29 |
| 1689296816 | Rachel Elizabeth Napoli | Counselor | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-05-11 |
| 1407478795 | Tina Cecelia Williams | Counselor | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205314234 | Lisa Marie Allen | Peer Specialist | 205 Piedmont Blvd # 100, Rock Hill, SC 29732-1836 | 2018-08-01 |
| 1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
| 1073078333 | Andre Ferenc Demeter | Peer Specialist | 199 S Herlong Ave, Rock Hill, SC 29732-1186 | 2019-01-31 |
| 1427513779 | Paula Nagle | Peer Specialist | 199 S Herlong Ave, Rock Hill, SC 29732-1186 | 2019-01-31 |
| 1578056214 | Reggie Young IIi | Peer Specialist | 199 S Herlong Ave, Rock Hill, SC 29732-1186 | 2018-06-07 |
| 1891286837 | Kerri Lynn Riley | Peer Specialist | 199 S Herlong Ave, Rock Hill, SC 29732-1186 | 2018-05-25 |
| 1730586744 | Kevin Burroughs | Peer Specialist | 166 Dotson St, Rock Hill, SC 29732-2334 | 2014-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
| 1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
| 1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
| 1366079626 | Angela B. Ball | Peer Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-26 |
| 1790310852 | Ines D Figueroa | Peer Specialist | 719 Okatie Hwy # 170, Okatie, SC 29909-3963 | 2020-03-10 |
| 1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
| 1770121394 | Michael Wade Crouch | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-13 |
| 1073159604 | Rhonda Sanford | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-11-19 |
| 1730721283 | Buffy Marie Shisler | Peer Specialist | 1644 Jackson St, Barnwell, SC 29812-2156 | 2019-10-16 |
| 1821648890 | Amanda Rector | Peer Specialist | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VICTOR DEAN COLVARD.
| 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.