SHANDA BERDAN COUNSELING SERVICES (NPI# 1164826574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164826574 |
| Entity Type | Organization |
| Organization Name | SHANDA BERDAN COUNSELING SERVICES |
| Practice Address |
337 E Houghton Ave Clinic A, Rm 5 West Branch MI 48661-1127 |
| Mailing Address |
216 Hebestreit St Po Box 325 Rose City MI 48654-2503 |
| Practice Telephone | 9897015836 |
| Practice Fax Number | 9896858363 |
| Mailing Telephone | 9897015836 |
| Mailing Fax Number | 9896858363 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | MRS. SHANDA RENEE BERDAN (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 9897015836 |
| Authorized Official Credential | LPC, LLBSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6401013102 | MI | Agencies |
| Street Address |
337 E HOUGHTON AVE CLINIC A, RM 5 |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415796 | Mclaren Primary Care | Family Medicine | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2006-07-25 |
| 1922658624 | Northern Counseling Association Pllc | Counselor | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2019-09-13 |
| 1407252133 | Shanda Berdan | Counselor | 337 E Houghton Ave, Clinic A, West Branch, MI 48661-1127 | 2014-11-06 |
| 1366872723 | Tamara Parsons | Counselor | 337 E Houghton Ave, Clinic A, West Branch, MI 48661-1127 | 2013-11-22 |
| 1720369671 | Mclaren Bay Region | Internal Medicine | 337 E Houghton Ave, West Branch, MI 48661 | 2011-09-06 |
| 1992083539 | Multiple Sclerosis Centre of Michigan Plc | Neurological Surgery | 337 E Houghton Ave, Suite D, West Branch, MI 48661-1127 | 2011-08-01 |
| 1770899551 | Kimberly K Provoast | Physician Assistant | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2010-08-31 |
| 1831251982 | Northern Phototherapy Management Facility LLC | Internal Medicine | 337 E Houghton Ave, Suite 3, West Branch, MI 48661-1127 | 2006-12-15 |
| 1912085564 | Cheryl Miller | Nurse Practitioner | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815030 | Creative Pathways Counseling, Pllc | Community/Behavioral Health | 1581 Fawn Lake Dr, West Branch, MI 48661-9074 | 2020-09-15 |
| 1720630361 | J.m.t. Counseling Services | Community/Behavioral Health | 613 Keith Ct, West Branch, MI 48661-1013 | 2019-07-14 |
| 1225580772 | Truenorth Ccm, Inc. | Community/Behavioral Health | 2945 Hansen Rd, West Branch, MI 48661-9317 | 2016-11-01 |
| 1578693537 | Families, Inc. | Community/Behavioral Health | 101 W. Main Street, West Branch, IA 52358 | 2007-03-07 |
| 1790994069 | Families, Inc. | Community/Behavioral Health | 101 West Main Street, West Branch, IA 52358 | 2007-05-22 |
| 1982813259 | Families, Inc. | Community/Behavioral Health | 101 West Main Street, West Branch, IA 52358 | 2007-05-22 |
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| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
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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.