EDWARD MANCILE JEFFERSON JR. (NPI# 1891203998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891203998 |
Entity Type | Individual |
Full Name | EDWARD MANCILE JEFFERSON JR. |
Practice Address |
2800 W Willow St Lansing MI 48917-1833 |
Practice Telephone | 5173234734 |
Practice Fax Number | 5178861158 |
Mailing Telephone | 5173234734 |
Mailing Fax Number | 5175561158 |
Enumeration Date | 2018-01-11 |
Last Update Date | 2018-01-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401015665 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 6401015664 | 05 |
Street Address |
2800 W WILLOW ST |
City | LANSING |
State | MI |
Zip Code | 48917-1833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457392599 | Mary Helen Thomas | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2006-06-09 |
1447880554 | Kelsey Kaczor | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2020-01-17 |
1396394946 | Brittiany Town | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2019-09-06 |
1528629771 | Savannaugh Kennedy | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2019-06-27 |
1689156440 | Joseph R Fritchley | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2018-08-29 |
1932695889 | Jessica Flewelling | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2018-07-03 |
1528550720 | Jeffrey Claude Loucks | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2018-06-04 |
1770002719 | Holly Flickinger | Counselor | 2800 W Willow St, Lansing, MI 48917-1833 | 2017-09-11 |
1306368675 | Whitney Banks | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2017-07-08 |
1639602725 | Heather Akers | Social Worker | 2800 W Willow St, Lansing, MI 48917-1833 | 2017-04-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
Find all providers in zip 48917 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710597943 | Latoya Sevier | Counselor | 2855 192nd St, Lansing, IL 60438-3717 | 2020-08-03 |
1689293268 | Lotus Life Counseling LLC | Counselor | 1106 N Cedar St Ste 200b, Lansing, MI 48906-5334 | 2020-04-13 |
1427603687 | Peace & Harmony Counseling Services, LLC | Counselor | 1100 W Saginaw St Ste 3c, Lansing, MI 48915-2033 | 2019-08-05 |
1578115812 | Allysa Pennington | Counselor | 812 E Jolly Rd Ste 211, Lansing, MI 48910-6821 | 2019-07-16 |
1669939815 | Key Concepts Counseling and Consulting | Counselor | 2517 E Mount Hope Ave Ste 12, Lansing, MI 48910-1924 | 2019-02-25 |
1487126595 | Mallory Godin | Counselor | 14509 Boichot Rd, Lansing, MI 48906 | 2018-12-31 |
1134690662 | Professional Counselors of Lansing LLC | Counselor | 913 W Holmes Rd Ste 139, Lansing, MI 48910-0436 | 2018-12-10 |
1245709948 | Mallori Mangus-hayden | Counselor | 936 W Edgewood Boulevarde # 170, Lansing, MI 48911-5582 | 2018-11-26 |
1699259556 | Shelton Rehabilitation Consulting, LLC | Counselor | 1032 N Capitol Ave, Lansing, MI 48906-4823 | 2018-09-17 |
1437652211 | Lauren Elizabeth Whaley | Counselor | 1112 Berten St, Lansing, MI 48910-1214 | 2018-03-17 |
Find all providers in LANSING |
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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.