AMANDA KAY JUNG (NPI# 1982239265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982239265 |
Entity Type | Individual |
Full Name | AMANDA KAY JUNG |
Practice Address |
30101 Hoover Rd Warren MI 48093-6572 |
Mailing Address |
612 Lydia Ln Pontiac MI 48341-1078 |
Practice Telephone | 5865586868 |
Practice Fax Number | 5865586893 |
Mailing Telephone | 2198637844 |
Enumeration Date | 2020-03-07 |
Last Update Date | 2020-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 6401018206 | MI | Behavioral Health & Social Service Providers |
Street Address |
30101 HOOVER RD |
City | WARREN |
State | MI |
Zip Code | 48093-6572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255405544 | Allan Harvey Morton | Internal Medicine | 30101 Hoover Rd, Warren, MI 48093-6572 | 2006-11-20 |
1417589805 | Tracy Lynne Harris | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-02-04 |
1063043362 | Jennifer E. Warren | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-01-27 |
1144877085 | Sophie Michalak | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-08-26 |
1063074854 | Alan Johns | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-07-02 |
1114586245 | Catherine Moritz | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-06-12 |
1790253813 | Arika Gregory | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-11-06 |
1285135921 | Robert Allen Dickinson Jr. | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-02-27 |
1750882668 | Shannon Grace Brockert | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-02-26 |
1164935144 | Andrea Michelle Berthet | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2017-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
Find all providers in zip 48093 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
1528454469 | Lp Counseling L.L.C. | Counselor | 29856 Schoenherr Rd Ste 2, Warren, MI 48088-3600 | 2015-04-07 |
1528304607 | Debra Loving | Counselor | 30101 Hoover Rd Ste 1, Warren, MI 48093-6572 | 2012-12-18 |
1689983470 | Cynthia A Zeisler | Counselor | 1050 East Market St., Warren, OH 44483 | 2010-09-28 |
1487790028 | Psycare, Inc. | Counselor | 235 Main Ave Sw, Warren, OH 44481-1012 | 2007-01-30 |
1578674107 | William L Lempka | Counselor | 1192 North Rd Ne, Warren, OH 44483-4521 | 2006-08-31 |
1447207873 | Jennifer Ann Popour-jones | Counselor | 272 Youngs Run, Warren, OH 44483 | 2006-05-30 |
1235754052 | Adam Lonardo | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-06-09 |
1760014419 | Victoria Michelle Burton | Counselor | 6902 Chicago Rd, Warren, MI 48092-1686 | 2020-02-11 |
1740810779 | Shauntae Renee Walker | Counselor | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-01-17 |
Find all providers in WARREN |
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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.