KERSTEN VANEM (NPI# 1164995593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164995593 |
| Entity Type | Individual |
| Full Name | KERSTEN VANEM |
| Credential | MS PMHT |
| Practice Address |
706 Highway 51 N Brookhaven MS 39601-2366 |
| Practice Telephone | 6019902513 |
| Mailing Telephone | 6019902513 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 600950849 | 05 |
| Street Address |
706 HIGHWAY 51 N |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407497621 | Randall K Jones | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-09-30 |
| 1821643958 | Sarah Hux | Contractor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-08-06 |
| 1417502923 | Allisa Alexander | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-08-02 |
| 1487208377 | Felicia Byrd | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-07-29 |
| 1336705086 | Tangela S. Watson | Case Manager/Care Coordinator | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-05-17 |
| 1609333251 | Valencia Bingham | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1497212054 | Rejohna Bledsoe | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1699232256 | Porcia Combs | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1902363567 | Courtney Fleming | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-03-01 |
| 1033676721 | Kristi D. Webber | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1811502974 | Cheryl D Walker | Counselor | 2801 Buford Hwy Ne Ste 195, Brookhaven, GA 30329-2124 | 2020-09-14 |
| 1780220962 | Marisa I Romo | Counselor | 2957 Clairmon Rd Ne, Brookhaven, GA 30329-4447 | 2019-11-21 |
| 1013247287 | Keynard Edouard | Counselor | 1219 Rainer Rd, Brookhaven, PA 19015-1935 | 2010-01-11 |
| 1730414939 | Sharron Lashawn Cross | Counselor | 2801 Buford Hwy Ne Ste 540, Brookhaven, GA 30329 | 2009-10-06 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1336752195 | Suwanne Taquise Sancko | Counselor | 2801 Buford Hwy Ne Ste 540, Brookhaven, GA 30329-2143 | 2020-08-31 |
| 1275145187 | Taylor Mcclendon | Counselor | 2801 Buford Hwy Ne Ste T60, Brookhaven, GA 30329-2145 | 2020-08-21 |
| 1407497621 | Randall K Jones | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-09-30 |
| 1942859095 | The Brackette Firm LLC | Counselor | 2002 Summit Blvd, Ste 300, Brookhaven, GA 30319 | 2019-09-10 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on KERSTEN VANEM.
| 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.