ROBERT E ENNIS SR. (NPI# 1063793594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063793594 |
| Entity Type | Individual |
| Full Name | ROBERT E ENNIS SR. |
| Credential | LMSW |
| Practice Address |
129 E 3rd St Flint MI 48502-1728 |
| Mailing Address |
12190 Silver Lake Rd Byron MI 48418-9001 |
| Practice Telephone | 8102334031 |
| Practice Fax Number | 8102374141 |
| Mailing Telephone | 8102334031 |
| Mailing Fax Number | 8102374141 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6801010482 | MI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6801010482 | MI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801010482 | MI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6801010482 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 6801010482 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366647729 | Robert F. Ennis | Internal Medicine | 1626 Wells Ave, Suite 105, Meridian, ID 83642-4524 | 2007-06-18 |
| 1780785550 | Robert L Ennis | Dentist | 3916 S. Lynn Ct., Independence, MO 64055 | 2006-09-26 |
| 1235163916 | Robert Stephan Ennis | Orthopaedic Surgery | 3455 Stallion Ln, Weston, FL 33331-3035 | 2006-07-10 |
| Street Address |
129 E 3RD ST |
| City | FLINT |
| State | MI |
| Zip Code | 48502-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851520589 | Ennis Center for Children, Inc. | Foster Care Agency | 129 E 3rd St, Flint, MI 48502 | 2009-07-02 |
| 1801357553 | Cecelia Williams | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2019-03-26 |
| 1700345311 | Janet Elizabeth Polidan Iv | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2019-03-14 |
| 1760950695 | Sharinese Franklin-jackson | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2018-11-08 |
| 1639645286 | Karol C Barber | Counselor | 129 E 3rd St, Flint, MI 48502-1728 | 2018-10-22 |
| 1235618604 | Raul Orduna | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2018-08-07 |
| 1881188266 | Lisa Leane Horne | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2018-06-19 |
| 1336525435 | Roberto Rinaldi | Psychologist | 129 E 3rd St, Flint, MI 48502-1728 | 2015-07-31 |
| 1255750709 | Takila Simmons | Social Worker | 129 E 3rd St, Flint, MI 48502-1728 | 2014-04-14 |
| 1083997019 | Ennis Center for Children | Community/Behavioral Health | 129 E 3rd St, Flint, MI 48502-1728 | 2011-09-26 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821457 | Jessica Hush | Counselor | 517 E 5th Ave, Flint, MI 48503-1541 | 2020-08-11 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1396300463 | Giving Hope LLC | Counselor | 4058 N Linden Rd Ste D, Flint, MI 48504-1381 | 2019-05-04 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1154772192 | Ramona Moye | Counselor | 2039 Burr Blvd, Flint, MI 48503-4209 | 2016-06-30 |
| 1629471198 | Tiffany Pritchett | Counselor | 2542 Orchard Ln, Flint, MI 48504-4537 | 2014-09-29 |
| 1013357896 | Gina L'or'eal Berry | Counselor | 420 W. Fifth Ave., Flint, MI 48503 | 2013-06-26 |
| 1174886907 | Patricia Marie Ritz | Counselor | 5406 Gateway Ctr, Ste A, Flint, MI 48507-3900 | 2012-06-18 |
| 1558628388 | Krystin Sankey | Counselor | 4520 Linden Creek Pkwy Ste B, Flint, MI 48507-2969 | 2012-04-18 |
| 1386929925 | New Sunrise Day Care LLC | Counselor | 3497 W Pasadena Ave, Flint, MI 48504-2331 | 2011-10-14 |
| 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.