NORTH STAR COUNSELING AND WELLNESS CENTER (NPI# 1255753927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255753927 |
| Entity Type | Organization |
| Organization Name | NORTH STAR COUNSELING AND WELLNESS CENTER |
| Practice Address |
811 Micah St Maryville TN 37804-3084 |
| Practice Telephone | 6156688244 |
| Mailing Telephone | 6156688244 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | MRS. ROSE M GAMBLE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6156688244 |
| Authorized Official Credential | LPC-MHSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3000 | TN | Behavioral Health & Social Service Providers |
| Street Address |
811 MICAH ST |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1033653167 | Kathleen Ann Puckett | Counselor | 1017 Hampshire Dr, Maryville, TN 37801-3525 | 2016-12-08 |
| 1528426152 | Jesse Williams | Counselor | 200 E Broadway Ave Ste 314b, Maryville, TN 37804-5709 | 2016-02-10 |
| 1326441528 | Kelsey Perkins | Counselor | 6201 W Main St Ste 120, Maryville, IL 62062-6870 | 2014-10-01 |
| 1851627327 | Jaynie Bradley Moore | Counselor | 315 Home Ave, Maryville, TN 37801-3970 | 2009-10-19 |
| 1699933630 | Mary Ellen Theodore | Counselor | 321 N Munn Ave, Maryville, MO 64468-2146 | 2008-05-27 |
| 1285832725 | Katherine E Bentley-knowles | Counselor | 347 High St, Maryville, TN 37804-5831 | 2007-07-06 |
| 1194879833 | Alicia Drew | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2007-01-22 |
| 1053492637 | Melissa D. Frye | Counselor | 1012 E Lamar Alexander Pkwy, Maryville, TN 37804-5132 | 2006-10-18 |
| 1518073683 | Christina M Kittstein | Counselor | 6209 E Main St, Maryville, IL 62062-2015 | 2006-08-22 |
| Find all providers in MARYVILLE | ||||
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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.