MCCULLOUGH VARGAS AND ASSOCIATES INC (NPI# 1851580831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851580831 |
Entity Type | Organization |
Organization Name | MCCULLOUGH VARGAS AND ASSOCIATES INC |
Practice Address |
110 Reading Ave Jonesville MI 49250-1136 |
Practice Telephone | 5178492330 |
Practice Fax Number | 5178492906 |
Mailing Telephone | 5178492330 |
Mailing Fax Number | 5178492906 |
Enumeration Date | 2007-10-16 |
Last Update Date | 2013-04-09 |
Authorized Official Name | MR. GERALD N MCCULLOUGH (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5178492330 |
Authorized Official Credential | MA, CAADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 300027 | MI | Agencies |
Street Address |
110 READING AVE |
City | JONESVILLE |
State | MI |
Zip Code | 49250-1136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477150621 | Matthew Studer | Peer Specialist | 110 Reading Ave, Jonesville, MI 49250-1136 | 2020-10-01 |
1376140525 | Christian Riske | Peer Specialist | 110 Reading Ave, Jonesville, MI 49250-1136 | 2020-10-01 |
1720698012 | Jaclyn Suzanne Gordon | Case Manager/Care Coordinator | 110 Reading Ave, Jonesville, MI 49250-1136 | 2020-08-03 |
1629603444 | Kevin Vanbuskirk | Counselor | 110 Reading Ave, Jonesville, MI 49250-1136 | 2020-03-12 |
1992363378 | Philip Monahan | Counselor | 110 Reading Ave, Jonesville, MI 49250-1136 | 2019-05-31 |
1659939247 | Nathan Bones | Peer Specialist | 110 Reading Ave, Jonesville, MI 49250-1136 | 2019-05-30 |
1053880179 | Amber Mariah Reynolds | Counselor | 110 Reading Ave, Jonesville, MI 49250-1136 | 2018-11-19 |
1982173159 | Christine Wright | Social Worker | 110 Reading Ave, Jonesville, MI 49250-1136 | 2018-11-17 |
1801364336 | Charles Clemons | Peer Specialist | 110 Reading Ave, Jonesville, MI 49250-1136 | 2018-11-02 |
1659864304 | James Edward Carlin | Counselor | 110 Reading Ave, Jonesville, MI 49250-1136 | 2018-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649561697 | Community Prevention and Treatment Services | Substance Abuse Rehabilitation Facility | 401 W. Chicago Rd., Jonesville, MI 49250 | 2011-04-26 |
1427123413 | Sharon L Dow | Dentist | 211 Harley St, Jonesville, MI 49250 | 2006-11-22 |
1992889588 | David J Betz | Dentist | 211 Harley, Jonesville, MI 49250 | 2006-10-24 |
1225417975 | William W Adams | Dentist | 211 Harley St, Jonesville, MI 49250 | 2015-05-28 |
1285881532 | S and S Dow Management Co LLC | Dentist | 211 Harley St, Jonesville, MI 49250 | 2008-08-19 |
1538220249 | Sharon L Dow Dds | Dentist | 211 Harley St, Jonesville, MI 49250 | 2006-12-13 |
1770035578 | Mccullough, Vargas, & Associates, Inc. | Community/Behavioral Health | 101 Reading Ave, Jonesville, MI 49250-0000 | 2016-10-27 |
1275778946 | Primary Care Associates of Jonesville LLC | Clinic/Center | 100 E Chicago Street, Jonesville, MI 49250-0000 | 2008-12-10 |
1639166424 | Nash Drugs Inc | Pharmacy | 237 E Chicago St, Jonesville, MI 49250-1002 | 2005-10-05 |
1386013191 | Paul Landini | Pharmacist | 237 E Chicago St, Jonesville, MI 49250-1002 | 2015-09-22 |
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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 |
---|---|---|---|---|
1770035578 | Mccullough, Vargas, & Associates, Inc. | Community/Behavioral Health | 101 Reading Ave, Jonesville, MI 49250-0000 | 2016-10-27 |
1760619779 | Family Preservation Services, Inc | Community/Behavioral Health | Rr 1 Box 104h, Jonesville, VA 24263-9548 | 2009-06-17 |
1184861064 | Family Preservation Services, Inc | Community/Behavioral Health | Rr 2 Box 3145, Jonesville, VA 24263-9549 | 2009-01-14 |
1043350127 | Family Preservations Services, Inc | Community/Behavioral Health | Rr 1 Box 552, Jonesville, VA 24263-9505 | 2007-02-07 |
1619053725 | Family Preservation Services, Inc | Community/Behavioral Health | 5 Chappell Gdn, Jonesville, VA 24263-9513 | 2006-10-31 |
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1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
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1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
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City | JONESVILLE |
Zip Code | 49250 |
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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.