FRED HENRY FRESE


Address: 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664
Phone: 2695561526

FRED HENRY FRESE (NPI# 1871157669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871157669
Entity Type Individual
Full Name FRED HENRY FRESE
Practice Address 4032 M 139 Ste 108
Saint Joseph
MI 49085-8664
Practice Telephone 2695561526
Mailing Telephone 2695561526
Enumeration Date 2019-04-26
Last Update Date 2019-04-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 4032 M 139 STE 108
City SAINT JOSEPH
State MI
Zip Code 49085-8664

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760046734 Nicole A Lee Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-25
1346802311 Lakisha Allen Nurse's Aide 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-06-30
1235795709 Bridgette A Butler Nurse's Aide 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-05-10
1891359634 Johnny Lee Jordan Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1396309274 Leeann C Staggs Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1245894120 Meghan Donnelle Dawson Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1952965790 Karol Lynn Deboer Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1386208171 Christopher Lee Clark Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758949 Ahmed Elshareif Student in an Organized Health Care Education/Training Program Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 2020-04-03
1033747225 Ezra Fox Student in an Organized Health Care Education/Training Program Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 2020-04-01
1679033930 Asad Butt Student in an Organized Health Care Education/Training Program Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 2019-03-22
1184194714 Benjamin Phillip Knuth Physical Therapist 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 2018-11-27
1336624279 Brandi Chatot Counselor 1101 Broad Street #8, Saint Joseph, MI 49085 2018-09-26
1396239562 Lakeland Medical Practices Family Medicine 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 2018-06-20
1760976518 Premier Health Associates, Inc. Home Health 1111 Main Sr, St Joseph, MI 49085 2018-06-15
1053817783 Chantell Strong Student in an Organized Health Care Education/Training Program Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 2018-04-02
1386144053 Anjana Gupta, Dds, Pllc Dentist 2800 Niles Road, Saint Joseph, MI 49085 2018-02-19
1356858997 Hope Reborn Counseling, Pllc Counselor 2816 Willa Dr, Saint Joseph, MI 49085 2018-01-04
Find all providers in zip 49085

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760046734 Nicole A Lee Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-25
1316400385 Sharon Jordan Peer Specialist 4032 M 139, Saint Joseph, MI 49085-8665 2019-04-08
1801442876 Raymond James Fleming Peer Specialist 4032 M 139, Saint Joseph, MI 49085-8665 2019-08-14
1891359634 Johnny Lee Jordan Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1396309274 Leeann C Staggs Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1245894120 Meghan Donnelle Dawson Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1952965790 Karol Lynn Deboer Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1386208171 Christopher Lee Clark Peer Specialist 4032 M 139 Ste 108, Saint Joseph, MI 49085-8664 2019-04-26
1437713419 Jeremy Grant Bishop Peer Specialist 4032 M 139, Saint Joseph, MI 49085-8665 2019-04-25
1710440474 Savannah Neighbors Peer Specialist 4032 M 139, Saint Joseph, MI 49085-8665 2019-04-10
Find all providers in SAINT JOSEPH

Competitor

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City SAINT JOSEPH
Zip Code 49085

Improve Information

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Dataset Information

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.

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