STEPHANIE CREEL (NPI# 1033717871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033717871 |
| Entity Type | Individual |
| Full Name | STEPHANIE CREEL |
| Practice Address |
765 E Hamilton Ave Flint MI 48505-4707 |
| Practice Telephone | 8102335340 |
| Mailing Telephone | 8102335340 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
765 E HAMILTON AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48505-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386756633 | Daniel A Martinez | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2006-08-31 |
| 1932706348 | Sara Vanessa Williams | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-08 |
| 1770198467 | Dimetria Carradine | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-09-10 |
| 1215541545 | Stephanie Cates | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-09-03 |
| 1073126116 | Vederia L Jenkins | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-08-28 |
| 1538782610 | Wendell Ja-vone Jackson | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-05-22 |
| 1538789714 | Shmar Denise Griffin | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-04-17 |
| 1225675507 | Jolene Julie Marshall | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-12-05 |
| 1942844303 | Rachele Kristine Gebre | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-10-29 |
| 1083256754 | Michael Neal Mahon | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| Find all providers in zip 48505 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1952870263 | Joshua Enrique Gonzalez | Peer Specialist | 1320 Martin Luther King Ave, Flint, MI 48503-1448 | 2018-11-15 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1932706348 | Sara Vanessa Williams | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-08 |
| 1073126116 | Vederia L Jenkins | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-08-28 |
| 1649880246 | Meghan Peake | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1265042857 | Dana Witzka | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1558971143 | Raina Patterson | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1811507494 | John Parmann | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| Find all providers in FLINT | ||||
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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.