ENVISION THERAPY SERVICES, LLC (NPI# 1053920561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053920561 |
| Entity Type | Organization |
| Organization Name | ENVISION THERAPY SERVICES, LLC |
| Other Organization Name | ENVISION THERAPY SERVICES, LLC |
| Practice Address |
1745 Hamilton Rd Ste 355 Okemos MI 48864-1954 |
| Practice Telephone | 5177211244 |
| Mailing Telephone | 5177211244 |
| Mailing Fax Number | 8333181465 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | BARBARA A BOHNE (OWNER, THERAPIST) |
| Authorized Official Telephone | 5177211244 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Envision Therapy Services, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346507571 | Envision Therapy Services, LLC | Clinic/Center | 211 Chapelwood Dr, Columbia, SC 29229-7121 | 2012-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Envision Therapy Services, LLC | 60 Waltham Ave., Manitou Springs, CO 80829 |
| Street Address |
1745 HAMILTON RD STE 355 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114431657 | Jessica Lynn Carter | Massage Therapist | 1745 Hamilton Rd Ste 355, Okemos, MI 48864-1954 | 2017-11-20 |
| 1225542756 | Corey E Rivera | Massage Therapist | 1745 Hamilton Rd Ste 355, Okemos, MI 48864-1954 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295213783 | Alternative Perspectives Counseling, LLC | Clinic/Center | 4295 Okemos Rd Ste 190, Okemos, MI 48864-6201 | 2018-08-06 |
| 1215409594 | Richmond Counseling and Therapy LLC | Clinic/Center | 4295 Okemos Rd Ste 100, Okemos, MI 48864-6203 | 2018-12-26 |
| 1548798432 | Ismail B. Sendi, Md, PC | Clinic/Center | 2300 Jolly Oak Rd, Okemos, MI 48864-3546 | 2017-05-23 |
| 1326094855 | Ambrose Rehabilitation Consultants, Pllc | Clinic/Center | 2109 Hamilton Rd, Okemos, MI 48864-1700 | 2006-05-26 |
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| 1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.