CAROL MARIE KRETZMANN (NPI# 1033163175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033163175 |
| Entity Type | Individual |
| Full Name | CAROL MARIE KRETZMANN |
| Credential | LPC |
| Practice Address |
132 Lower Ridge Rd Conway AR 72032-8518 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5015489905 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0802018 | AR | Behavioral Health & Social Service Providers |
| Street Address |
132 LOWER RIDGE RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-8518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880857 | Haley Squires | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2020-08-03 |
| 1811506405 | Jaden Johns | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2020-07-29 |
| 1306465604 | Angela Montrose | Registered Nurse | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2020-04-16 |
| 1518593250 | Cynthia Shuffield | Social Worker | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2020-03-13 |
| 1912546409 | James Hensley | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2019-12-31 |
| 1518514348 | Nannilena White | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2019-08-26 |
| 1114574571 | James Peer | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2019-08-21 |
| 1386291748 | Tiayana Davis | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2019-08-21 |
| 1043867393 | Jennifer Nelson | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2019-08-21 |
| 1477108215 | Haley Rose | Registered Nurse | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257701 | Casondra R Robinson | Counselor | 1720 Simms St, Conway, AR 72034-6416 | 2018-06-04 |
| 1316461510 | Renew Counseling | Counselor | 1237 Front St, Conway, AR 72032-4101 | 2017-07-29 |
| 1720515638 | Poindexter Counseling LLC | Counselor | 800 Legion St Ste 200b, Conway, SC 29526-4825 | 2017-05-23 |
| 1528489192 | Scott K Grainger | Counselor | 105 Hampton Ridge Rd, Conway, SC 29527-3975 | 2013-12-26 |
| 1194158394 | Alan J Hahn | Counselor | 1308 Oak St Unit A, Conway, AR 72034-5339 | 2013-08-12 |
| 1245570845 | Lynn Smith Hucks | Counselor | 6720 Elbow Rd, Conway, SC 29527-6471 | 2013-02-20 |
| 1831494905 | Tresvil Gerard Pack | Counselor | 930 Wingate St Ste D2, Conway, AR 72034-4837 | 2011-01-20 |
| 1124239538 | Wendy J Blackwood | Counselor | 1422 Caldwell St, Conway, AR 72034-5319 | 2007-05-25 |
| 1770608598 | Lydia Willingham | Counselor | 1119 3rd Ave, Conway, SC 29526-5135 | 2007-03-20 |
| 1942300975 | Phyllis Jordan Stalvey | Counselor | 400 Laurel St, Conway, SC 29526-4317 | 2006-09-22 |
| Find all providers in CONWAY | ||||
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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.