ABIGAIL PAIGE DECEUNINCK (NPI# 1124640222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124640222 |
| Entity Type | Individual |
| Full Name | ABIGAIL PAIGE DECEUNINCK |
| Other Name | ABBY DECEUNINCK |
| Practice Address |
2615 Stadium Dr Kalamazoo MI 49008-1654 |
| Mailing Address |
35911 Cadre St Clinton Twp MI 48035-2906 |
| Practice Telephone | 2693431651 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2615 STADIUM DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271636 | Community Healing Centers | Preventive Medicine | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2005-08-02 |
| 1679170443 | Steve Weaver | Social Worker | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2020-10-05 |
| 1881200707 | Christopher Collins | Student in an Organized Health Care Education/Training Program | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2020-09-16 |
| 1710590187 | Haley Elizabeth Zimmer | Case Manager/Care Coordinator | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2020-08-26 |
| 1265042493 | Allyson Mcclellan | Social Worker | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2020-08-03 |
| 1639701493 | Jennifer Jackson Nkansah | Counselor | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2020-02-10 |
| 1285276733 | Kaye Sanders | Counselor | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2019-10-16 |
| 1669020350 | Brittany Nicole Ollie | Social Worker | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2019-08-27 |
| 1427619667 | Colin Kenneth Mandigo | Student in an Organized Health Care Education/Training Program | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2019-06-27 |
| 1588225817 | Stephanie Murphy | Student in an Organized Health Care Education/Training Program | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947992 | Anna Liedberg Miron LLC | Counselor | 1010 Short Rd, Kalamazoo, MI 49008-1186 | 2020-06-17 |
| 1023668076 | Melissa Portia Fuller | Counselor | 8270 S 10th St, Kalamazoo, MI 49009-9729 | 2019-09-11 |
| 1255894358 | Deborah Jane Hindman | Counselor | 1915 Waite Ave, Kalamazoo, MI 49008-1760 | 2019-04-08 |
| 1922503796 | Monica Poucher | Counselor | 6963 W Kl Ave Ste B, Kalamazoo, MI 49009-8043 | 2018-03-26 |
| 1619480928 | Melinda M Johnston Pllc | Counselor | 130 Ridgewood St, Kalamazoo, MI 49001-4244 | 2017-11-08 |
| 1104338417 | Michele Renee Figuereo | Counselor | 821 W South St Ste E, Kalamazoo, MI 49007-4664 | 2017-10-26 |
| 1285156182 | Kaley Ford | Counselor | 322 E Stockbridge Ave, Kalamazoo, MI 49001-2873 | 2017-07-12 |
| 1740659333 | Ashley Decou | Counselor | 3809 Ottawa Ave, Kalamazoo, MI 49006-1944 | 2015-09-24 |
| 1396123162 | Lauren Nicole Barry | Counselor | 4110 Firethorne Rdg Apt 302, Kalamazoo, MI 49006-6282 | 2015-05-13 |
| 1891184396 | Anna Liedberg Miron | Counselor | 1460 Prospect Pl, Kalamazoo, MI 49006-3110 | 2015-01-21 |
| Find all providers in KALAMAZOO | ||||
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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.