LASONDRA WAYNE (NPI# 1881967909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881967909 |
| Entity Type | Individual |
| Full Name | LASONDRA WAYNE |
| Practice Address |
7320 Garden Ln Suite 106 Portage MI 49002-4423 |
| Practice Telephone | 2696124432 |
| Mailing Telephone | 2696124432 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6301015047 | MI | Behavioral Health & Social Service Providers |
| Street Address |
7320 GARDEN LN SUITE 106 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598858409 | Ces Consultation, P.C. | Community/Behavioral Health | 7320 Garden Ln, Suite 110, Portage, MI 49002-4423 | 2006-10-02 |
| 1740549120 | Comprehensive Neuropsychological Services PC | Clinical Neuropsychologist | 7320 Garden Ln, Portage, MI 49002-4423 | 2012-05-07 |
| 1568737799 | Jessica A Kerby | Psychologist | 7320 Garden Ln, Portage, MI 49002-4423 | 2012-03-21 |
| 1821255423 | Kelly Dziedzic | Psychologist | 7320 Garden Ln, Suite 106, Portage, MI 49002-4423 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387691 | Chad Robert Westmaas | Counselor | 6100 Newport Rd Ste 2222, Portage, MI 49002-9235 | 2018-05-29 |
| 1154871390 | Dawn Anderson-mueller | Counselor | 322 Dewit St, Portage, WI 53901-2114 | 2016-10-12 |
| 1255768859 | Rebecca Wilson | Counselor | 7649 Woodcrest St, Portage, MI 49024-5059 | 2013-09-27 |
| 1245534478 | Tonya Lynn Swinger | Counselor | 742 Popish Road, Portage, PA 15946-7900 | 2011-01-03 |
| 1992022503 | Paul Maxwell Brinkley | Counselor | 1398 Palmetto Dr., Portage, MI 49002 | 2010-04-23 |
| 1023343738 | Pamela Regina Robinson | Counselor | 1151 W Milham Ave, Portage, MI 49024-1203 | 2009-10-14 |
| 1538298401 | Catholic Charities, Diocese of Gary Inc | Counselor | 2642 Eleanor St, Portage, IN 46368-3634 | 2007-03-05 |
| 1942396205 | Lindsay Page South | Counselor | 1591 W Centre St, Suite 103, Portage, MI 49024 | 2006-10-05 |
| 1306452248 | Misty Hatch | Counselor | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2020-09-16 |
| 1891307880 | Sydney M Martin | Counselor | 6130 Lovers Ln, Portage, MI 49002-3026 | 2020-08-20 |
| Find all providers in PORTAGE | ||||
Please comment or provide details below to improve the information on LASONDRA WAYNE.
| 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.