MISS MARIA ESMERALDA GRUNGLASSE (NPI# 1245400977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245400977 |
Entity Type | Individual |
Full Name | MISS MARIA ESMERALDA GRUNGLASSE |
Credential | LMHC |
Practice Address |
16 Whitehead St Portland ME 04108-1316 |
Mailing Address |
95 Falmouth Rd Falmouth ME 04105-1841 |
Practice Telephone | 2072055819 |
Practice Fax Number | 2072055820 |
Mailing Telephone | 2072055819 |
Mailing Fax Number | 2072055820 |
Enumeration Date | 2008-03-10 |
Last Update Date | 2017-02-23 |
NPI Deactivation Date | 06/07/2016 |
NPI Reactivation Date | 2016-08-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
LMHC8891 | FL | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC# CC4520 | ME | Behavioral Health & Social Service Providers |
Street Address |
16 WHITEHEAD ST |
City | PORTLAND |
State | ME |
Zip Code | 04108-1316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700324282 | Armand Alfred Vachon | Counselor | 560 Seashore Ave, Peaks Island, ME 04108 | 2017-02-06 |
1902917669 | Island Health Services | Nurse Practitioner | 87 Central Ave, Peaks Island, ME 04108-0052 | 2006-08-31 |
1215216643 | Sarah Jane Norris | Nurse Practitioner | 29 City Point Rd, Peaks Island, ME 04108-1161 | 2011-08-16 |
1356852503 | Janyce Beck | Social Worker | 34 Pleasant Ave, Peaks Island, ME 04108-1188 | 2017-10-16 |
1528005576 | Richard Frederick Boyd | Nurse Anesthetist, Certified Registered | 15 Epps St, Peaks Island, ME 04108-1206 | 2006-05-31 |
1205377512 | Portland Community Health Center | Clinic/Center | 4 Church Street, Portland, ME 04108-3505 | 2017-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
1669073490 | Krista Marie Obenlock | Acupuncturist | 2408 N Baldwin St, Portland, OR 97217-6404 | 2020-11-06 |
1265033088 | Palms Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 Forest Ave Apt 13d, Portland, ME 04103-1846 | 2020-11-06 |
1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
1356942221 | Joseph Cody Brainard | Physical Therapist | 4416 Ne Simpson St, Portland, OR 97218-1446 | 2020-11-05 |
1427659671 | Lindsay Marie Thomas | Doula | 4503 Se 66th Ave, Portland, OR 97206-4501 | 2020-11-04 |
1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
1982204509 | Uchendu Ezra Iwuanyanwu | Occupational Therapy Assistant | 3550 S Bond Ave, Portland, OR 97239-4507 | 2020-11-01 |
Find all providers in PORTLAND |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
Find all providers in PORTLAND |
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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.