MR. ADAM LEE ANASTASOFF (NPI# 1194029991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194029991 |
| Entity Type | Individual |
| Full Name | MR. ADAM LEE ANASTASOFF |
| Credential | M.A., L.P.C. |
| Practice Address |
13316 Ida Center Rd Ida MI 48140-9722 |
| Practice Telephone | 7343474950 |
| Mailing Telephone | 7343474950 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401011875 | MI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6401011875 | MI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401011875 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 6401011875 | MI | Behavioral Health & Social Service Providers |
| Street Address |
13316 IDA CENTER RD |
| City | IDA |
| State | MI |
| Zip Code | 48140-9722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598113847 | Angela Hines | Licensed Practical Nurse | 14007 Lulu Rd, Ida, MI 48140-9529 | 2016-05-26 |
| 1588071419 | Mary Ringel | Technician, Other | 2000 Morocco Rd, Ida, MI 48140-9531 | 2014-07-11 |
| 1225579048 | Analese Marie Ringel | Behavior Technician | 2000 Morocco Rd, Ida, MI 48140-9531 | 2017-03-13 |
| 1992895254 | Riga W Krueger | Dentist | 2906 Lewis Ave, Ida, MI 48140-9598 | 2006-10-14 |
| 1790299147 | Ida Public Schools | Case Management | 3145 Prairie St, Ida, MI 48140-9600 | 2017-11-21 |
| 1396807228 | James E Kramer | Pharmacist | 3164 Lewis Ave, Ida, MI 48140-9703 | 2006-12-15 |
| 1790788701 | Layth Maolood | Internal Medicine | 3160 Lewis Ave, Ida, MI 48140-9703 | 2005-05-23 |
| 1144831892 | Community Physicians Pllc | Physical Medicine & Rehabilitation | 3160 Lewis Ave, Ida, MI 48140-9703 | 2020-08-14 |
| 1831113414 | Alo Med Pllc | Clinic/Center | 3160 Lewis Ave, Ida, MI 48140-9703 | 2006-07-27 |
| 1457319147 | Hometown Pharmacy Inc | Pharmacy | 3164 Lewis Ave, Ida, MI 48140-9703 | 2006-05-02 |
| Find all providers in zip 48140 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
| 1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
| 1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
| 1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
| 1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.