MRS. SARA ALICE FELLOWS (NPI# 1801974217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801974217 |
| Entity Type | Individual |
| Full Name | MRS. SARA ALICE FELLOWS |
| Credential | PCC |
| Practice Address |
3604 Clarkston Rd. Lake Orion Counseling Center 3604 Clarkston Rd. Clarkston MI 48316 |
| Mailing Address |
53060 Ruann Dr Shelby Twp MI 48316-2559 |
| Practice Telephone | 2485959969 |
| Practice Fax Number | 2488140361 |
| Mailing Telephone | 3304122147 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401016814 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2643616 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629150206 | Sara Marie Fellows | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2006-10-20 |
| Street Address |
3604 CLARKSTON RD. LAKE ORION COUNSELING CENTER 3604 CLARKSTON RD. |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
| 1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
| 1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
| 1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
| 1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
| Find all providers in zip 48316 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285110288 | Abigail Blackshire | Counselor | 4850 Fox Crk E Apt 57, Clarkston, MI 48346-4924 | 2018-07-13 |
| 1427589092 | Tisha Hadaway | Counselor | 4002 E Ponce De Leon Ave, Clarkston, GA 30021-1815 | 2017-03-24 |
| 1649644253 | Doris Eva Mae Ward | Counselor | 5701 Bow Pointe Dr Ste 315, Clarkston, MI 48346-5402 | 2015-11-19 |
| 1164811980 | Huei-chen Cheng | Counselor | 6810 Brannon Hill Rd, Clarkston, GA 30021-3287 | 2015-01-16 |
| 1679972392 | Mariya Anatolyevna Zhitkov | Counselor | 7119 Oak Ridge Ct, Clarkston, MI 48346-1991 | 2014-08-19 |
| 1952671281 | Charles Ray Young | Counselor | 5840 Lorac Dr, Suite 3c, Clarkston, MI 48346-2915 | 2012-01-03 |
| 1083946248 | Jonathan Bruce Richey | Counselor | 6588 Northview Dr, Clarkston, MI 48346-1528 | 2010-02-12 |
| 1588857825 | Rebecca Jo Anastasi | Counselor | 10513 Wedgewood Dr, Clarkston, MI 48348-2065 | 2007-08-21 |
| 1679623185 | Veronica Smith | Counselor | 957 Texel Ln, Suite B, Clarkston, GA 30021-2736 | 2007-01-10 |
| 1770183956 | Nicholas Lewan | Counselor | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-10-28 |
| Find all providers in CLARKSTON | ||||
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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.