MISTY RENEE ROLLEN (NPI# 1033240486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033240486 |
| Entity Type | Individual |
| Full Name | MISTY RENEE ROLLEN |
| Credential | MSW |
| Practice Address |
4011 S Western Ave Marion IN 46953-4904 |
| Mailing Address |
Po Box 964 Marion IN 46952-0964 |
| Practice Telephone | 7656749070 |
| Mailing Telephone | 7656749070 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4011 S WESTERN AVE |
| City | MARION |
| State | IN |
| Zip Code | 46953-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| 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 |
|---|---|---|---|---|
| 1972128627 | Kelsie Ann Vaske | Counselor | 1199 Delaware Ave Ste 1074, Marion, OH 43302-6475 | 2020-06-09 |
| 1265963185 | Willie Henry Ford Jr. | Counselor | 367 Front St, Marion, MA 02738-1538 | 2017-03-22 |
| 1003365552 | Andrew James Maag | Counselor | 49 Ichabod Ln, Marion, MA 02738-1003 | 2016-09-26 |
| 1740606029 | Anita Ritchey | Counselor | 1713 Marion Waldo Rd, Marion, OH 43302-7427 | 2014-03-11 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| 1528305752 | Martha Alison Graham | Counselor | 273 Country Club Rd, Marion, SC 29571-6375 | 2013-01-08 |
| 1669723037 | R. Eric Ward | Counselor | 188 S Garden St, Marion, NC 28752-4053 | 2012-09-26 |
| 1619267945 | Connie Opitz Allensworth | Counselor | 1227 Hwy 77, Marion, AR 72364 | 2011-04-07 |
| 1780850438 | Tracey Moore | Counselor | 1227 Hwy 77, Suite 2, Marion, AR 72364 | 2008-05-02 |
| 1487856688 | Gina Cale | Counselor | 101 S Washington St Ste 200, Marion, IN 46952-3868 | 2007-06-01 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on MISTY RENEE ROLLEN.
| 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.