WILLIE EARL FEGGINS


Address: 370 Country Club Rd, Holland, MI 49423-8303
Phone: 6163932188

WILLIE EARL FEGGINS (NPI# 1992314728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992314728
Entity Type Individual
Full Name WILLIE EARL FEGGINS
Credential RECOVERY COACH CCAR
Practice Address 370 Country Club Rd
Holland
MI 49423-8303
Practice Telephone 6163932188
Practice Fax Number 6163932182
Mailing Telephone 6163932188
Mailing Fax Number 6163932182
Enumeration Date 2020-07-28
Last Update Date 2020-10-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 370 COUNTRY CLUB RD
City HOLLAND
State MI
Zip Code 49423-8303

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996714 Ella Rose Marx Social Worker 412 Century Lane, Holland, MI 49423 2019-08-02
1245720424 Amanda Ann Allen Behavior Technician 165 Sorrento Drive, Holland, MI 49423 2018-05-14
1588194237 Emily Amila Geurink Physical Therapy Assistant 4037 43rd St, Holland, MI 49423 2017-06-15
1285081737 Kara Draayer Nurse Anesthetist, Certified Registered 25 W 8th St Ste 200, Holland, MI 49423 2016-05-14
1851776413 Sara Ty Occupational Therapist 789 South Meadow Court, Holland, MI 49423 2015-07-24
1508243056 Andrew Peasley Chiropractor 436 Century Ln., Holland, MI 49423 2015-05-05
1437536497 Deborah Donnelly Physical Therapy Assistant 1221 16th Street, Holland, MI 49423 2015-04-29
1366846024 John Nguyen Pharmacist 747 E 16th St, Holland, MI 49423 2014-10-09
1003257817 Courtney Young Social Worker 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 2013-07-09
1689014391 Jason Pettet Acupuncturist 500 West 17th St., Holland, MI 49423 2013-06-26
Find all providers in zip 49423

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770192429 Nelson Serrano Peer Specialist 370 Country Club Rd Ste A, Holland, MI 49423-8303 2020-07-29
1821645995 Linda Sutton Peer Specialist 350 S Irwin Rd, Holland, OH 43528 2019-08-22
1457895526 Jennifer Cullom Peer Specialist 12265 James St, Holland, MI 49424-8613 2016-12-08
1396297966 Jack Davis Peer Specialist 665 136th Ave, Suite 50, Holland, MI 49424-1897 2016-10-31
1437601192 Christopher Deleon Peer Specialist 665 136th Ave, Holland, MI 49424-1897 2016-10-28
1578915682 Berna Welling Peer Specialist 12265 James St, Holland, MI 49424-8613 2016-07-13
1942651146 Matt Parrish Peer Specialist 12265 James St, Holland, MI 49424-8613 2016-06-29
1659745685 Barbara Nelson Peer Specialist 412 Century Ln, Holland, MI 49423-4285 2015-11-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063026284 Leah Mae Sindone Peer Specialist 22324 Derby Rd, Woodhaven, MI 48183-3700 2020-09-04
1831711613 John Lee Williams Jr. Peer Specialist 24400 Schoolcraft, Redford, MI 48239-2633 2020-05-14
1568084861 Zannie Roy Jackson Jr. Peer Specialist 36801 Ann Arbor Trl, Livonia, MI 48150-3422 2020-05-11
1417578865 Veronica R Vasquez Peer Specialist 500 Hancock St # 48602, Saginaw, MI 48602-4224 2020-04-27
1235768680 Matthew Milz Peer Specialist 145o S Lapeer Rd, Oxford, MI 48371-4982 2020-04-07
1558996132 Camille Jewell Jackson Peer Specialist 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 2020-03-04
1073146908 James Laroach Peer Specialist 913 W. Homes Suite 200, Lansing, MI 48910 2020-02-19
1578193827 Axel Lee Gruenberg Peer Specialist 221790 West 9 Mile, Southfield, MI 48033 2020-01-24
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
1003453267 Patricia Ann Love Peer Specialist Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 2019-12-06
Find all providers with the same taxonomy

Competitor

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City HOLLAND
Zip Code 49423

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Dataset Information

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.

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