HEIDI L BRINKLEY (NPI# 1831612662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831612662 |
Entity Type | Individual |
Full Name | HEIDI L BRINKLEY |
Practice Address |
5575 Conner St Ste 204b Detroit MI 48213-6401 |
Mailing Address |
18930 Adrian St Southfield MI 48075-1785 |
Practice Telephone | 3135880101 |
Practice Fax Number | 8002861782 |
Mailing Telephone | 2483614818 |
Enumeration Date | 2017-07-24 |
Last Update Date | 2017-07-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
5575 CONNER ST STE 204B |
City | DETROIT |
State | MI |
Zip Code | 48213-6401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861900326 | Dimonique Simmons | Counselor | 5575 Conner St Ste 204b, Detroit, MI 48213-6401 | 2018-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
Find all providers in zip 48213 |
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 |
---|---|---|---|---|
1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
1790331536 | Bridgett Darcell Scott | Peer Specialist | 1121 E 6 Mile Rd, Detroit, MI 48203-2857 | 2019-08-16 |
1932669827 | Donald Brown | Peer Specialist | 18582 Goddard St, Detroit, MI 48234-1319 | 2019-03-25 |
1710463880 | Felicia Greene | Peer Specialist | 3542 Fairview St, Detroit, MI 48214-3539 | 2018-07-12 |
1033603998 | Tonya Patrice Miller-cherry | Peer Specialist | 1423 Field St # 5, Detroit, MI 48214-2321 | 2018-06-14 |
1588067383 | Katrina Baldwin | Peer Specialist | 11668 Montrose St, Detroit, MI 48227-1758 | 2014-10-07 |
1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
1467060368 | Diane Lassiter | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-16 |
Find all providers in DETROIT |
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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.