JEANNA BOASE, LLC (NPI# 1952923500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952923500 |
Entity Type | Organization |
Organization Name | JEANNA BOASE, LLC |
Other Organization Name | CULTIVATE WELLNESS COUNSELING |
Practice Address |
4670 Fulton St E Ste 101 Ada MI 49301-8409 |
Practice Telephone | 6162074655 |
Enumeration Date | 2020-05-16 |
Last Update Date | 2020-06-10 |
Authorized Official Name | JEANNA BOASE (CLINICIAN) |
Authorized Official Telephone | 6162074655 |
Authorized Official Credential | LLPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Cultivate Wellness Counseling | Doing Business As Name - Organization |
Street Address |
4670 FULTON ST E STE 101 |
City | ADA |
State | MI |
Zip Code | 49301-8409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568585255 | Thomas E. Laberteaux | Psychologist | 4670 Fulton St E Ste 101, Ada, MI 49301-8409 | 2007-04-09 |
1083226823 | Aurora Counseling Group, Pllc | Counselor | 4670 Fulton St E Ste 101, Ada, MI 49301-8409 | 2020-08-22 |
1225690704 | Jeanna Boase | Counselor | 4670 Fulton St E Ste 101, Ada, MI 49301-8409 | 2019-07-03 |
1316492119 | Tyler Higley | Counselor | 4670 Fulton St E Ste 101, Ada, MI 49301-8409 | 2016-08-22 |
1669613097 | Susan Lesli Hall | Counselor | 4670 Fulton St E Ste 101, Ada, MI 49301-8409 | 2009-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
Find all providers in zip 49301 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588194690 | A Calming Connection-counseling, LLC | Counselor | 14376 County Road 3490 Ada, Ok 74820, 14376 County Road 3490, Ada, OK 74820 | 2017-06-13 |
1023468287 | Steven Frank Gostele | Counselor | 510 N Highland St, Ada, OK 74820-4027 | 2016-06-20 |
1194105510 | Molly Rose Wilson | Counselor | 7195 Thornapple River Dr Se, Ada, MI 49301-8411 | 2015-06-01 |
1093145674 | Tamy Davenport | Counselor | 111 East 12th Street, Ada, OK 74820 | 2013-11-19 |
1811339294 | Derick Allen Eidson | Counselor | 19108 County Road 3560, Ada, OK 74820-0177 | 2013-07-25 |
1679913362 | Russell Andrew Brown | Counselor | 2036 Ahloso Rd., Ada, OK 74820 | 2013-06-27 |
1316281231 | David Hansard | Counselor | Recovery Resource Services, 1300 Hoppe Blvd; Suite 6, Ada, OK 74820 | 2012-11-15 |
1578816989 | Donald Cole Gallup | Counselor | 15867 County Road 3619 Loop, Ada, OK 74820-1443 | 2012-10-23 |
1598016693 | Diane M Lown | Counselor | 2950 Burwood Hill Ct, Ada, MI 49301-9448 | 2012-09-28 |
1982981106 | Joanine Marie Gibson | Counselor | 229 N Hope St, Ada, OK 74820-5228 | 2011-11-16 |
Find all providers in ADA |
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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.