CHAD ANDIS (NPI# 1033729637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033729637 |
| Entity Type | Individual |
| Full Name | CHAD ANDIS |
| Practice Address |
529 Martin Luther King Blvd Flint MI 48502-2002 |
| Practice Telephone | 8102387226 |
| Practice Fax Number | 8102395518 |
| Mailing Telephone | 8102387226 |
| Mailing Fax Number | 8102395518 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
529 MARTIN LUTHER KING BLVD |
| City | FLINT |
| State | MI |
| Zip Code | 48502-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861837502 | Shanta Natre Smith | Counselor | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2013-05-08 |
| 1881291045 | Caylin Ann Dawson | Counselor | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-10-01 |
| 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 |
| 1487264073 | Chad Gospel Payne | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1306456918 | Christopher Duncan | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1396354114 | Tameka Jones | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-07-28 |
| 1730709585 | Tamara Hall | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
| Find all providers in zip 48502 | ||||
| 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 |
| 1033717871 | Stephanie Creel | Peer Specialist | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2020-10-14 |
| 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 |
| 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.