SHELLEY BROTHERTON (NPI# 1013293372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013293372 |
| Entity Type | Individual |
| Full Name | SHELLEY BROTHERTON |
| Credential | LLPC |
| Practice Address |
1500 Weiss St Saginaw MI 48602-5251 |
| Mailing Address |
2751 Wilder Rd Midland MI 48642-8720 |
| Practice Telephone | 9894972500 |
| Mailing Telephone | 9896158141 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401012611 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1500 WEISS ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141603 | Marilyn Sue Kamp | Pharmacist | 1500 Weiss St, (traverse City Va Outpatient Clinic), Saginaw, MI 48602-5251 | 2005-08-16 |
| 1649885104 | Holly Sue Vandervest | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-09-11 |
| 1083225361 | Kathy Marie Feinauer | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-08-11 |
| 1144831439 | Brian Seigfried | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-08-11 |
| 1447860952 | Rachel Gwizdala | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-08-10 |
| 1043820798 | Timothy David Brietzke | Department of Veterans Affairs (VA) Pharmacy | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-08-07 |
| 1184234361 | Savitha Werghis | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-08-03 |
| 1164030672 | Trevor Alexander Karbowski | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-07-21 |
| 1982244828 | Samantha Edgar | Pharmacist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2020-01-08 |
| 1851935647 | Sara Ann Judd | Registered Nurse | 1500 Weiss St, Saginaw, MI 48602-5251 | 2019-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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| 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 |
|---|---|---|---|---|
| 1649767286 | Jennifer Rochelle Price | Counselor | 100 S Jefferson Ave Ste 102, Saginaw, MI 48607-1274 | 2018-04-19 |
| 1346778826 | Megan Waddell | Counselor | 500 E Braeburn Dr, Saginaw, MI 48638-5793 | 2017-05-30 |
| 1659828770 | Micaella Brownfield | Counselor | 6235 Gratiot Rd # 307, Saginaw, MI 48638-5987 | 2016-09-07 |
| 1184906398 | Austin Dale Davis | Counselor | 833 Sequoia Way, Saginaw, TX 76131-3557 | 2011-09-13 |
| 1225655780 | Mohamed Allie Hamood | Counselor | 1632 Stone St, Saginaw, MI 48602 | 2020-07-01 |
| 1194364885 | Darlene Ann White | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-12-30 |
| 1558908913 | Deborah Woolcott | Counselor | 1320 N Michigan Ave Ste 5, Saginaw, MI 48602-4751 | 2019-12-04 |
| 1689222036 | Cheriah Slaughter | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-08-29 |
| 1205480092 | Christopher M Wesolowski | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2019-07-30 |
| 1508330895 | Hattie Sade Norwood | Counselor | 304 S Niagara St, Saginaw, MI 48602-1570 | 2019-01-19 |
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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.