VICKI RAFFERTY-POLK (NPI# 1821259300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821259300 |
| Entity Type | Individual |
| Full Name | VICKI RAFFERTY-POLK |
| Credential | LLPC |
| Practice Address |
1521 Gull Rd Kalamazoo MI 49048-1640 |
| Mailing Address |
5943 Stadium Dr Ste 1 Kalamazoo MI 49009-3016 |
| Practice Telephone | 2692264858 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401009209 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1521 GULL RD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033939 | Midwestern Pathology, PC | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2005-06-17 |
| 1164038667 | Emily Thurnherr | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-09-20 |
| 1578180899 | Ceara Elaina Sibley | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-07-02 |
| 1770108508 | Emily Krumbach | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-08 |
| 1700400686 | Emily Mccollum | Psychologist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-05 |
| 1316568850 | Adraya Gabrielle Garrett | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-05-06 |
| 1114551272 | Brandy Lee Ford | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-27 |
| 1689206120 | Olivia Foote | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1666 | 2020-02-12 |
| 1962035402 | Shannon Nicole Hepler | Registered Nurse | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-12 |
| 1346887130 | Bethany Paige Flanagan | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801369814 | One Breath Holistic Counseling LLC | Counselor | 5466 Holiday Ter, Kalamazoo, MI 49009-2147 | 2019-01-03 |
| 1942714662 | Starr Bull | Counselor | 2237 Hillsdale Ave, Kalamazoo, MI 49006-2157 | 2017-11-17 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1962863001 | Julie A French | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2016-03-17 |
| 1922467695 | Victoria Orbe | Counselor | 527 Lodge Ln, Kalamazoo, MI 49009-9103 | 2016-02-23 |
| 1902220171 | Hope and Resilience Therapy LLC | Counselor | 251 N Rose St, Kalamazoo, MI 49007-3860 | 2014-02-09 |
| 1548698970 | Ashley Outman | Counselor | 5380 Holiday Ter Ste 27, Kalamazoo, MI 49009-2128 | 2013-10-22 |
| 1932542313 | Kathy Piecuch | Counselor | 5380 Holiday Ter Ste 47, Kalamazoo, MI 49009-2128 | 2013-04-16 |
| 1497005508 | Daniel Allen Davis | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2012-09-17 |
| 1285983338 | Alessandra Santos Pye | Counselor | 453 Egleston Ave, Kalamazoo, MI 49001-2917 | 2012-09-05 |
| 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.