DAETON DEGRANT (NPI# 1093357873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093357873 |
| Entity Type | Individual |
| Full Name | DAETON DEGRANT |
| Credential | LPC |
| Practice Address |
400 N Washington St Ste 229 Farmington MO 63640-1716 |
| Mailing Address |
2909 Independence St Cape Girardeau MO 63703-5044 |
| Practice Telephone | 5738031402 |
| Practice Fax Number | 5738031405 |
| Mailing Telephone | 5738031402 |
| Mailing Fax Number | 5738031405 |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2019-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
400 N WASHINGTON ST STE 229 |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885735 | George Killian | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2018-06-14 |
| 1184248601 | Jamie Montgomery | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2020-06-01 |
| 1700400223 | Ava Johnson | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2020-06-01 |
| 1871145458 | Dorcas Mace | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2019-07-12 |
| 1669034674 | Merri Copeland-cook | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2019-07-01 |
| 1679037352 | Amanda Leftridge | Social Worker | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2019-01-26 |
| 1235612037 | Micaela M Wilzonski | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2018-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318101 | Candace Michelle Garcia | Counselor | 6011 Arroyo Dr, Farmington, NM 87402-5366 | 2020-05-20 |
| 1770122954 | Elizabeth Mary Hrubiec Retano | Counselor | 304 Main St Ste 505, Farmington, CT 06032-2985 | 2020-01-05 |
| 1013402965 | Susan Elizabeth Valle | Counselor | 219 E Columbia St, Farmington, MO 63640-3106 | 2018-06-23 |
| 1851885735 | George Killian | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2018-06-14 |
| 1457842049 | Tara P Therapy, Pllc | Counselor | 128 Southwinds Rd Ste 5-6, Farmington, AR 72730-8652 | 2018-05-20 |
| 1861996613 | Simply Being Wellness Counseling | Counselor | 304 Main St Ste 214, Farmington, CT 06032-2985 | 2018-03-19 |
| 1558870089 | Charles Crawford | Counselor | 6275 Brownsville Rd, Farmington, NY 14425-9550 | 2017-09-27 |
| 1477073211 | Dustin Scott | Counselor | 400 N Washington St Ste 116, Farmington, MO 63640-1716 | 2017-06-22 |
| 1730612839 | William Blaine-wallace | Counselor | 456 New Vineyard Rd, Farmington, ME 04938-5216 | 2017-04-05 |
| 1508307463 | Simone Renee Darby | Counselor | 36996 Brittany Hill Dr, Farmington, MI 48335-2910 | 2017-03-12 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on DAETON DEGRANT.
| 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.