MIRIAM S MINDEMAN (NPI# 1063828176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063828176 |
| Entity Type | Individual |
| Full Name | MIRIAM S MINDEMAN |
| Credential | M.A., L.P.C. |
| Practice Address |
229 Martin Ave Canton IL 61520-2520 |
| Mailing Address |
229 Martin Ave Canton IL 61520 |
| Practice Telephone | 3096471881 |
| Mailing Telephone | 3096471881 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 178.008716 | IL | Behavioral Health & Social Service Providers |
| Street Address |
229 MARTIN AVE |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407976285 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-29 |
| 1003417312 | Kara Dean Simpson | Social Worker | 229 Martin Ave, Canton, IL 61520-2520 | 2020-11-03 |
| 1407393275 | Laticia M Georgie | Social Worker | 229 Martin Ave, Canton, IL 61520-2520 | 2017-01-31 |
| 1578685954 | Jacey L Downing | Counselor | 229 Martin Ave, Canton, IL 61520-2520 | 2007-04-04 |
| 1588784912 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053888446 | Kerry Anne Minshew | Counselor | 42283 Highgate Ct, Canton, MI 48187-3523 | 2018-10-24 |
| 1285109132 | Rebekah Watkins LLC | Counselor | 2800 Market Ave N, Canton, OH 44714-1781 | 2018-10-08 |
| 1518432624 | Beverly Ann Tweedy | Counselor | 843 44th Street Nw, Unit #a, Canton, OH 45709-1647 | 2018-10-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1588146989 | Donna Gail Feinberg Rachwal | Counselor | 35 Shawmut Rd, Canton, MA 02021-1408 | 2018-08-31 |
| 1801373568 | Bethany Moulton | Counselor | 46972 Bartlett Dr, Canton, MI 48187-1409 | 2018-07-25 |
| 1255823555 | Sikeria Caldwell | Counselor | 7752 N Canton Center Rd, Canton, MI 48187-1328 | 2018-06-01 |
| 1922538099 | Heather Filippelli | Counselor | 43825 Michigan Ave # 1, Canton, MI 48188-2551 | 2017-06-12 |
| 1093166969 | Darnell Daniels | Counselor | 3395 Creeks Bend Ct, Canton, MI 48188-2386 | 2016-06-22 |
| 1609243419 | Eric Humble | Counselor | 359 Troy St, Canton, PA 17724-1015 | 2015-08-27 |
| Find all providers in CANTON | ||||
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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.