CARRIE MATSON (NPI# 1063546661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063546661 |
| Entity Type | Individual |
| Full Name | CARRIE MATSON |
| Credential | MA, LCP, NCC |
| Practice Address |
817 W High St Jackson MI 49203-2986 |
| Mailing Address |
11234 Huckleberry Ln Grass Lake MI 49240-8958 |
| Practice Telephone | 5177877920 |
| Practice Fax Number | 5177872440 |
| Mailing Telephone | 5177877920 |
| Mailing Fax Number | 5177872440 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401008953 | MI | Behavioral Health & Social Service Providers |
| Street Address |
817 W HIGH ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871559666 | Elliot Hardy | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2006-04-21 |
| 1043508674 | Tate Tatro | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2011-07-18 |
| 1639472962 | Gloria J Smith | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2010-12-08 |
| 1114245982 | Family Services & Children's Aid | Community/Behavioral Health | 817 W High St, Jackson, MI 49203-2986 | 2010-05-04 |
| 1891812467 | Christina Martoia | Counselor | 817 W High St, Jackson, MI 49203-2986 | 2007-03-26 |
| 1285793521 | Hasan M Qutob | Internal Medicine | 817 W High St, Jackson, MI 49203-2986 | 2006-12-06 |
| 1154480499 | Hasan M Qutob | Internal Medicine | 817 W High St, Jackson, MI 49203-2986 | 2006-12-06 |
| 1518900323 | Lori Ann Holleque | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2006-06-13 |
| 1124061825 | Bunee Price Morrison | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2006-06-13 |
| 1497711667 | Jane Grover | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1992339071 | Open Door Family Counseling | Counselor | 316 S Brown St Ste A, Jackson, MI 49203-1481 | 2020-02-27 |
| 1891334108 | Jamie Alane Merrill | Counselor | 1214 Greenwood Ave, Jackson, MI 49203-3037 | 2020-01-03 |
| 1285273078 | Hall Consulting Services LLC | Counselor | 1155 Briarwood Dr, Jackson, MS 39211-4204 | 2019-12-27 |
| 1114496387 | New Direction Counseling Center, LLC | Counselor | 1200 N West Ave Ste 809, Jackson, MI 49202-2196 | 2018-11-17 |
| 1811490964 | Lifeworks Resources, LLC | Counselor | 575 S Royal St Ste 24, Jackson, TN 38301-7307 | 2018-03-15 |
| 1912409764 | Impact Behavioral Counseling LLC | Counselor | 1551 E County Line Rd Ste B, Jackson, MS 39211-1801 | 2018-03-07 |
| 1831697317 | Denise June Johnson | Counselor | 906 Lincoln St, Jackson, MI 49202-3251 | 2018-01-30 |
| 1033626031 | Heather R. Chruch | Counselor | 180 W Michigan Ave Ste 204, Jackson, MI 49201-1342 | 2017-12-29 |
| 1861908337 | Matthew T Tompkins | Counselor | 810 E Jackson Blvd Ste B1, Jackson, MO 63755-2400 | 2017-12-20 |
| Find all providers in JACKSON | ||||
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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.