MR. VANNAK KONG (NPI# 1982987640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982987640 |
| Entity Type | Individual |
| Full Name | MR. VANNAK KONG |
| Credential | BA |
| Practice Address |
35 John St Fl 1 Lowell MA 01852-1101 |
| Mailing Address |
51 Blodgett St Lowell MA 01851-4631 |
| Practice Telephone | 9782753879 |
| Practice Fax Number | 9782756480 |
| Mailing Telephone | 9787616815 |
| Mailing Fax Number | 9782756480 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
35 JOHN ST FL 1 |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947495 | Sophia Isabel Deno | Counselor | 62 2nd Ave, Lowell, MA 01854-2808 | 2020-09-22 |
| 1396367223 | Joey Rossignol | Counselor | 142 Carlisle St, Lowell, MA 01852-5207 | 2020-05-14 |
| 1811520638 | Douglas Weiskopf | Counselor | 27 Jackson St Apt 334, Lowell, MA 01852-2142 | 2020-02-20 |
| 1891342986 | Olivia Ruby Miller-nuzzo | Counselor | 184 Methuen St, Lowell, MA 01850-2134 | 2019-08-22 |
| 1366909665 | Trinity Care Associate | Counselor | 100 Merrimack St Ste 201, Lowell, MA 01852-1707 | 2019-02-23 |
| 1437621240 | Innerzension Therapy LLC | Counselor | 322 N Bloomington St, Suite D, Lowell, AR 72745-0000 | 2018-12-19 |
| 1407325277 | Carissa Haberlin | Counselor | 336 W Lakeview Dr, Lowell, IN 46356-1261 | 2018-11-21 |
| 1619443439 | Morgan Thomason | Counselor | 1603 Park St, Lowell, AR 72745-8882 | 2018-10-18 |
| 1740769728 | Sokharith Mey, Md, Pllc | Counselor | 1075 Westford St Ste 204, Lowell, MA 01851-2845 | 2018-08-09 |
| 1902305253 | The Megan House Foundation, Inc. | Counselor | 32 Berry Rd, Lowell, MA 01854-1402 | 2018-02-01 |
| 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.