JAYME GENE WAGNER (NPI# 1093185712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093185712 |
| Entity Type | Individual |
| Full Name | JAYME GENE WAGNER |
| Practice Address |
529 M. L. King, Jr. Ave Flint MI 48502 |
| Mailing Address |
1205 Garland St Apt B Flint MI 48503-1305 |
| Practice Telephone | 8102387226 |
| Mailing Telephone | 8102387226 |
| Mailing Fax Number | 8102395518 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
529 M. L. KING, JR. AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48502 |
| 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 |
| 1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
| 1417379272 | Maria T Calverley | Counselor | 529 Ml King, Jr. Ave., Flint, MI 48502 | 2014-01-14 |
| Find all providers in zip 48502 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1174073480 | Rooted In Love Counseling Services | Counselor | 3397 Windland Dr, Flint, MI 48504-1764 | 2016-10-11 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1801255054 | Jenna Pillow | Counselor | 931 Martin Luther King Ave, Flint, MI 48503-1488 | 2016-02-16 |
| 1710344841 | Virlyn Allen-poe | Counselor | 4105 Keyes St, Flint, MI 48504-2294 | 2016-01-20 |
| 1932573706 | Larry Lenoir | Counselor | G3500 Flushing Rd Ste 250, Suite 250, Flint, MI 48504-4238 | 2015-11-17 |
| 1124499835 | Harold Hill | Counselor | 323 Allendale Pl, Flint, MI 48503-2335 | 2015-10-08 |
| 1821468489 | Shaun Weck | Counselor | 529 Martin Luther King Blvd # Jr, Flint, MI 48502-2002 | 2015-09-25 |
| 1427440874 | Rasheeda Mitchell | Counselor | 2387 S Linden Rd Ste 138, Flint, MI 48532-5488 | 2015-02-23 |
| 1821486853 | Joseph Anthony Johnson | Counselor | 2091 Professional Dr Ste D, Flint, MI 48532-3657 | 2014-12-29 |
| 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.