MS. NICOLE REID (NPI# 1205262359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205262359 |
| Entity Type | Individual |
| Full Name | MS. NICOLE REID |
| Credential | M.A. |
| Practice Address |
2601 13th St Port Huron MI 48060-6546 |
| Practice Telephone | 8109879100 |
| Practice Fax Number | 8109879105 |
| Mailing Telephone | 8109879100 |
| Mailing Fax Number | 8109879105 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2-01383 | MI | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 E 12 Mile Rd, Madison Heights, MI 480712651 | 2486581116 | 2486581120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270809 | Nicole Reid | Registered Nurse | 3201 New Mexico Ave Nw Ste 310, Washington, DC 20016-2739 | 2020-03-16 |
| 1710228143 | Nicole Reid | Lactation Consultant, Non-RN | 2740 Innisbrook Dr, Portage, MI 49024-7872 | 2013-03-11 |
| 1093282998 | Nicole Anessa Reid | Counselor | 3652 S Seacrest Blvd, Boynton Beach, FL 33435-8662 | 2018-10-29 |
| 1184165441 | Nicole Reid | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2017-03-19 |
| 1831428994 | Nicole Ann Reid | Speech-Language Pathologist | 29 N Academy St, Greenville, SC 29601-2629 | 2009-12-18 |
| 1174769541 | Nicole Reid | Counselor | 2626 E 46th St, Ste J, Indianapolis, IN 46205-2380 | 2009-01-06 |
| 1215089891 | Nicole Lesley Reid | Surgery | 1323 E Franklin St, Hillsboro, TX 76645-2621 | 2007-01-17 |
| Street Address |
2601 13TH ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-6546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548378920 | Robert Bruce Dundas | Counselor | 2601 13th St, Port Huron, MI 48060-6546 | 2006-08-27 |
| 1780104109 | Evelyn Reilly | Counselor | 2601 13th St, Port Huron, MI 48060-6546 | 2017-06-27 |
| 1942757364 | Samantha George | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2016-09-01 |
| 1619326022 | Kimberly Koester | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2016-06-07 |
| 1023465788 | Erin Michelle Mcdaid | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2016-05-23 |
| 1598060238 | Karen Boucher | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2011-01-11 |
| 1992932735 | Gloria Klinesteker | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2009-06-19 |
| 1285822718 | Jolene Irene Lepien-doan | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2007-10-10 |
| 1467652586 | Tiffany Lee Scurto | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2007-07-18 |
| 1790835528 | Stephanie Evans | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1952476624 | Patricia Janelle Moncrief | Counselor | 2849 15th Ave, Apt 21, Port Huron, MI 48060-1968 | 2006-11-21 |
| 1548378920 | Robert Bruce Dundas | Counselor | 2601 13th St, Port Huron, MI 48060-6546 | 2006-08-27 |
| 1538543335 | Tracy Yvonne Brinker | Counselor | 1406 8th Street, Port Huron, MI 48060 | 2015-07-13 |
| 1043690415 | Brandi Demetroff | Counselor | 2414 Petit St, Port Huron, MI 48060-7446 | 2015-06-01 |
| 1609118637 | Alexis Johnson | Counselor | 2609 Electric Ave, Ste A, Port Huron, MI 48060-6589 | 2013-03-16 |
| 1912213711 | Felecia D. Kirkland | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2010-08-31 |
| 1336451913 | Reva D. Mitchell | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2010-07-12 |
| 1609006162 | Danielle Marsili Hall | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2009-07-19 |
| 1891937561 | Amber Rose Decoster | Counselor | 1406 8th St, Port Huron, MI 48060-5804 | 2009-03-27 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MS. NICOLE REID.
| 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.