LAKEN RACHELLE COLBY (NPI# 1902454143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902454143 |
Entity Type | Individual |
Full Name | LAKEN RACHELLE COLBY |
Other Name | LAKEN RACHELLE TALCOTT |
Practice Address |
11652 W Grand River Ave Lowell MI 49331-8465 |
Practice Telephone | 6162485224 |
Mailing Telephone | 6162485442 |
Enumeration Date | 2019-08-30 |
Last Update Date | 2019-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401017223 | MI | Behavioral Health & Social Service Providers |
Street Address |
11652 W GRAND RIVER AVE |
City | LOWELL |
State | MI |
Zip Code | 49331-8465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063574077 | Douglas Wood Cushman | Social Worker | 11652 W Grand River Ave, Lowell, MI 49331-9203 | 2006-12-15 |
1871107920 | Ariel Simaz | Case Manager/Care Coordinator | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2020-09-06 |
1164052932 | Kira Diane Alexander | Social Worker | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2020-01-21 |
1508400011 | Tyrone Hacker | Social Worker | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2019-10-29 |
1417437492 | Marilou Sorokin | Registered Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2018-08-18 |
1104341361 | Jeri Stranz | Licensed Practical Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2017-08-09 |
1710410154 | Hope Network Behavioral Health Services | Clinic/Center | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2017-04-04 |
1922463637 | Kim Fife | Licensed Practical Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2015-12-22 |
1629458542 | Shelby Rose Plichota | Social Worker | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2015-06-05 |
1760869275 | Christina Steward | Registered Nurse | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2015-05-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295173771 | Heather Marie Jones | Optometrist | 915 W. Green St Ste 101, Hastings, MI 49331 | 2013-06-06 |
1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
1184732323 | Alivio Corporation | Durable Medical Equipment & Medical Supplies | 901 W. Main Street, Suite C, Lowell, MI 49331 | 2006-08-28 |
1740707637 | Parker Liu | Pharmacist | 11980 Fulton St E, Lowell, MI 49331 | 2017-08-23 |
1962482653 | Martin D Vredenburg | Dentist | 1150 N Hudson St, Lowell, MI 49331-1000 | 2006-01-19 |
1407140197 | Spectrum Health Primary Care Partners | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2011-05-31 |
1508034141 | Lowell Medical Specialists, PC | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2008-02-18 |
1740660315 | Patricia Sellner | Specialist/Technologist | 990 N Hudson St, Lowell, MI 49331-1006 | 2015-06-08 |
1508327370 | Lydia Joan Gerard | Registered Nurse | 1060 Hunt St, Lowell, MI 49331-1079 | 2019-03-26 |
1154847184 | Family Dentistry of Lowell | Dentist | 147 N Center St, Lowell, MI 49331-1207 | 2017-08-22 |
Find all providers in zip 49331 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003110990 | Andrew Keodara Phomthavong | Counselor | 298 Walker Street, Lowell, MA 01851 | 2011-01-06 |
1477867075 | Adam Jacob Martin | Counselor | 2118 Sandpiper Ave, Lowell, AR 72745-8673 | 2010-08-06 |
1235301227 | Teresa Raper Collins | Counselor | 2012 Alton Ct, Lowell, NC 28098-2205 | 2008-03-31 |
1902096498 | Ryan M Frederick | Counselor | 515 Enterprise Dr 300, Lowell, AR 72745-8982 | 2007-07-31 |
1386653723 | Amy Michelle Adams | Counselor | 821 Paradise Pl, Lowell, AR 72745-9312 | 2006-08-05 |
1528001955 | Susan Denise Walker | Counselor | 322d N Bloomington St, Lowell, AR 72745-9136 | 2006-06-14 |
1902410038 | Giovana Sacchetto Lippi | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2020-09-04 |
1356976286 | Lee Weeks | Counselor | 11630 Fulton St E, Lowell, MI 49331-9426 | 2020-03-11 |
1629614862 | Jose A Dominguez | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-22 |
1720635469 | Kristin Lothschutz | Counselor | 11650 Downes St Ne, Lowell, MI 49331-9489 | 2019-08-19 |
Find all providers in LOWELL |
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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.