MICHELLE BOREN (NPI# 1861667636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861667636 |
| Entity Type | Individual |
| Full Name | MICHELLE BOREN |
| Other Name | MICHELLE OWEN |
| Credential | LMHC, LCAC |
| Practice Address |
316 Lincolnway La Porte IN 46350 |
| Practice Telephone | 2197070178 |
| Practice Fax Number | 2193250855 |
| Mailing Telephone | 2197070178 |
| Mailing Fax Number | 2193250855 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2012-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87000643A | IN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39001957A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100163580 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215086053 | Michelle Hill Boren | Speech-Language Pathologist | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2007-01-10 |
| Street Address |
316 LINCOLNWAY |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174899488 | Psych Consults | Psychologist | 316 Lincolnway, La Porte, IN 46350-2413 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710351317 | Mtisunge Erica Kapalamula | Counselor | 424 Perry St, La Porte, IN 46350-3200 | 2015-11-19 |
| 1932371465 | Michael Timothy Knish | Counselor | 309 Canterbury Dr, La Porte, IN 46350-1917 | 2008-03-25 |
| 1255476156 | Valerie Weber | Counselor | 705 Harrison St, La Porte, IN 46350-3417 | 2007-02-20 |
| 1730120148 | Lori A Truesdell | Counselor | 2364 N Us Highway 35, La Porte, IN 46350-8380 | 2006-06-08 |
| 1316305667 | Lindsey N Leech | Counselor | 424 Perry St, La Porte, IN 46350-3200 | 2016-02-02 |
| 1104290253 | Diane Apostoloff | Counselor | 424 Perry St, La Porte, IN 46350-3200 | 2015-11-29 |
| 1407220023 | Erin E Fry | Counselor | 424 Perry St, La Porte, IN 46350-3200 | 2015-11-19 |
| 1922472521 | Sherrie L Stringer | Counselor | 424 Perry St, La Porte, IN 46350-3200 | 2015-11-19 |
| 1194064568 | Deana Sherbondy | Counselor | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2013-02-05 |
| 1043527328 | Link Psychological & Consulting Service, P.C. | Counselor | 900 I St, La Porte, IN 46350-5533 | 2010-09-08 |
| Find all providers in LA PORTE | ||||
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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.