MICHELLE LYNN BRINK (NPI# 1962900217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962900217 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN BRINK |
| Practice Address |
163 Plaza Rd Indiana PA 15701-3264 |
| Practice Telephone | 7244652311 |
| Practice Fax Number | 7244652339 |
| Mailing Telephone | 7244652311 |
| Mailing Fax Number | 7244652339 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 Elk Run Ave, Punxsutawney, PA 157671617 | 8149386340 | |
| 4526 Federal Ave, Everett, WA 98203 | 4253496200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667219 | Michelle Brink | Community/Behavioral Health | 600 Freedom Dr, Napoleon, OH 43545-9038 | 2020-10-22 |
| Street Address |
163 PLAZA RD |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760482541 | Tannen Stahley-lake | Psychologist | 163 Plaza Rd, Indiana, PA 15701-3264 | 2005-07-22 |
| 1053947143 | Sarah Kysor | Student in an Organized Health Care Education/Training Program | 163 Plaza Rd, Indiana, PA 15701-3264 | 2020-03-20 |
| 1366072829 | Ashley Elizabeth Solt | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2020-01-23 |
| 1609415017 | Stephanie Leslie Vitolo | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2020-01-02 |
| 1548777436 | Katrina Lynn Mcaninch | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2018-01-02 |
| 1598136665 | Lake Psychological Services | Psychologist | 163 Plaza Rd, Indiana, PA 15701-3264 | 2015-10-14 |
| 1366702094 | Julie Learn | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700440385 | Alexis Ann Jacomen | Counselor | 9 S 7th St Ste 203, Indiana, PA 15701-2787 | 2019-04-29 |
| 1275053118 | Desmond Counseling Services | Counselor | 1150 Grant St Apt 7, Indiana, PA 15701-2834 | 2017-06-21 |
| 1881143303 | Jessica Scott | Counselor | 1380 Route 286 Hwy E Ste 526, Indiana, PA 15701-1446 | 2016-09-26 |
| 1881014017 | Pamela Laird | Counselor | 793 Old Route 119 Highway North, Indiana, PA 15701 | 2014-04-28 |
| 1306276696 | Melinda Ann Fox | Counselor | 793 Old Rte 119 Hwy North, Indiana, PA 15701 | 2013-11-22 |
| 1285064097 | Kathleen A. Renne | Counselor | 793 Old Rte 119 Hwy N., Indiana, PA 15701 | 2013-11-14 |
| 1003150806 | Douglas Francart | Counselor | 1380 Rt 286, Airport Professional Center, Indiana, PA 15701 | 2012-11-16 |
| 1215294806 | Kyle Bellinger | Counselor | 1150 Grant St, Suite 7, Indiana, PA 15701-2834 | 2012-04-19 |
| 1770881351 | Lindsay Ann Sossong | Counselor | 1380 Route 286 Hwy E Ste 524, Indiana, PA 15701-1482 | 2011-03-07 |
| 1619202595 | Keisha Boston | Counselor | 1380 Rte 286 Hwy E Ste 524, Indiana, PA 15701-1482 | 2009-10-09 |
| Find all providers in INDIANA | ||||
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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.