RICHARD JASTRZEBSKI (NPI# 1124497490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124497490 |
Entity Type | Individual |
Full Name | RICHARD JASTRZEBSKI |
Practice Address |
120 W Exchange St Ste 300 Owosso MI 48867-2834 |
Mailing Address |
507 S Cedar St Owosso MI 48867-3403 |
Practice Telephone | 9897238239 |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |
Gender Code | M |
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 |
120 W EXCHANGE ST STE 300 |
City | OWOSSO |
State | MI |
Zip Code | 48867-2834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386846202 | Jana Marie Carroll | Social Worker | 120 W Exchange St, Owosso, MI 48867-2834 | 2007-06-04 |
1083963813 | Cheryl Kay Richards | Counselor | 120 W Exchange St, Suite 300, Owosso, MI 48867-2834 | 2012-09-07 |
1619261856 | Melissa A Eveleth | Counselor | 120 W Exchange St, 300, Owosso, MI 48867-2834 | 2011-06-06 |
1528377017 | Kathryn M Karanja | Social Worker | 120 W Exchange St, Suite 300, Owosso, MI 48867-2834 | 2010-09-30 |
1649585928 | Kimberly Martus | Social Worker | 120 W Exchange St, Suite 204, Owosso, MI 48867-2834 | 2010-08-11 |
1174846653 | Deborah Wachter Boucha | Social Worker | 120 W Exchange St, Suite 300, Owosso, MI 48867-2834 | 2010-03-11 |
1366614224 | Alexis Horton | Counselor | 120 W Exchange St, Ste. 300, Owosso, MI 48867-2834 | 2008-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
Find all providers in zip 48867 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333530 | Alexis Marie Smith | Counselor | 405 S Ruess Rd Apt C, Owosso, MI 48867-9397 | 2019-12-12 |
1295940690 | Charles William Dodge | Counselor | 123 S Washington St, Owosso, MI 48867-2921 | 2007-05-11 |
1780295808 | Cindy Lou Moffit | Counselor | 1480 N M 52 Ste 1, Owosso, MI 48867-1025 | 2020-08-12 |
1396303996 | Whitney Nichole Rann | Counselor | 1480 N M 52 Ste 1, Owosso, MI 48867-1025 | 2019-05-30 |
1124584354 | Dawn Lee Lucas | Counselor | 1480 N M 52, Owosso, MI 48867-1290 | 2019-02-12 |
1831687128 | James A Slawson | Counselor | 1480 N M 52 Ste 1, Owosso, MI 48867-1025 | 2018-04-23 |
1740659218 | Phillip James Zezulak | Counselor | 120 W Exchange St Ste 300, Owosso, MI 48867-2834 | 2015-09-15 |
1669858478 | Derreck Johnson | Counselor | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2015-08-04 |
1942546973 | Patrick William Sherman Sr. | Counselor | 510 S Washington St, Suite A, Owosso, MI 48867-3545 | 2012-12-19 |
1497983753 | Stacy Lynn Schaufele | Counselor | 802 W King St, Suite P, Owosso, MI 48867-2100 | 2009-06-25 |
Find all providers in OWOSSO |
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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.