MICHAEL JAMES CEBULSKI (NPI# 1972130177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972130177 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES CEBULSKI |
| Credential | CPRC,CADC-DP |
| Practice Address |
208 W Lincoln St Charlevoix MI 49720-1336 |
| Practice Telephone | 2315471144 |
| Practice Fax Number | 2315474970 |
| Mailing Telephone | 2315471144 |
| Mailing Fax Number | 2315474970 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 20151209439760 | 05 |
| Street Address |
208 W LINCOLN ST |
| City | CHARLEVOIX |
| State | MI |
| Zip Code | 49720-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710477278 | Jilaine Towne-patton | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2018-05-10 |
| 1023538741 | Dennis J Kan | Social Worker | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2017-06-23 |
| 1962944769 | Tory Werth | Social Worker | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2016-11-09 |
| 1679958664 | David Scott Kelly | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2015-07-20 |
| 1053795062 | Celia Partida Kelly | Counselor | 208 W Lincoln St, Charlevoix, MI 49720 | 2015-07-20 |
| 1972982841 | Gerald Mcavoy | Counselor | 208 W Lincoln St, Charlevoix, MI 49720 | 2015-05-26 |
| 1790053270 | Bay Area Substance Education Services | Community/Behavioral Health | 208 W Lincoln St, Charlevoix, MI 49720 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1215587498 | Amanda Evans | Dietitian, Registered | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 | 2019-09-18 |
| 1508229980 | Charlevoix Physicians Clinic | Specialist | 14709 W. Upright, Charlevoix, MI 49720 | 2016-04-01 |
| 1881014348 | Tracy Skinner | Social Worker | 220 W. Garfield Ave, Charlevoix, MI 49720 | 2014-04-23 |
| 1720414097 | Jennifer Jean Swenor | Occupational Therapist | 10270 Burnett Rd, Charlevoix, MI 49720 | 2013-09-18 |
| 1801171863 | Leslie Lukins | Pharmacist | 1500 Bridge Street, Charlevoix, MI 49720 | 2011-10-20 |
| 1164670949 | Northwest Michigan Community Health Agency | Hospice Care, Community Based | 220 W Garfield Street, Charlevoix, MI 49720 | 2008-09-04 |
| 1275722191 | Robert Dennis Cook | Pharmacist | 301 Bridge Street, Charlevoix, MI 49720 | 2007-10-16 |
| 1629191648 | Susan Mary Killam | Nurse Practitioner | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | 2007-04-06 |
| 1851410153 | Joelle M Beaudoin | Specialist/Technologist | 06510 M-66 N, Charlevoix, MI 49720 | 2007-03-28 |
| Find all providers in zip 49720 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386186252 | Michael Hubert Dennis | Counselor | 108 E Garfield Ave, Charlevoix, MI 49720-1721 | 2016-11-09 |
| 1598973182 | Ellen Lord | Counselor | 1005 May St Ste A, Charlevoix, MI 49720-9380 | 2007-05-18 |
| 1891231510 | Patrick O'neill | Counselor | 12900 Us Highway 31 N, Charlevoix, MI 49720-1530 | 2017-01-19 |
| 1679958664 | David Scott Kelly | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434669 | Great-lakes Restorative Counseling, LLC | Counselor | 11800 Merriman Rd Unit 510896, Livonia, MI 48151-2075 | 2020-10-16 |
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1891302717 | Paige J Welch | Counselor | 1509 Diamond Ave Ne, Grand Rapids, MI 49505-5217 | 2020-09-24 |
| 1588277040 | Gregory Dean Retzlaff | Counselor | 2043 Rowe Ave Ne, Grand Rapids, MI 49505-4238 | 2020-08-25 |
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1164030136 | Amina Mcclendon | Counselor | 22190 Avon Rd, Oak Park, MI 48237-2572 | 2020-07-16 |
| 1134747835 | Janita E Deal | Counselor | 503 Pearl St Ste 7, Ypsilanti, MI 48197-2615 | 2020-07-09 |
| 1376160168 | Scott Thomas Montgomery | Counselor | 1242 Baywood Cir, Brighton, MI 48116-6761 | 2020-06-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1043833643 | Ralph Cunningham | Counselor | 16057 Blue Star M Hwy, South Haven, MI 49090-9470 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | CHARLEVOIX |
| Zip Code | 49720 |
Please comment or provide details below to improve the information on MICHAEL JAMES CEBULSKI.
| 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.