REBECCA SOBOLESKI (NPI# 1265049845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265049845 |
Entity Type | Individual |
Full Name | REBECCA SOBOLESKI |
Practice Address |
4747 W 24th Ave Gary IN 46406-2821 |
Practice Telephone | 2198854264 |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
4747 W 24TH AVE |
City | GARY |
State | IN |
Zip Code | 46406-2821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184757320 | Middle Passage, Incorporated | Community/Behavioral Health | 4747 W 24th Ave, Gary, IN 46406-2821 | 2007-03-14 |
1982213468 | Iris Jeffries | Technician | 4747 W 24th Ave, Gary, IN 46406-2821 | 2020-07-30 |
1194384073 | Khaliah Amani Herbert | Technician, Health Information | 4747 W 24th Ave, Gary, IN 46406-2821 | 2019-06-13 |
1235695206 | Sharon Maggie Kelly | Community Based Residential Treatment Facility, Mental Illness | 4747 W 24th Ave, Gary, IN 46406-2821 | 2019-02-14 |
1033697032 | Ladonna Lucille Bell | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2018-08-01 |
1154819597 | Zakia Brodnax | Technician, Health Information | 4747 W 24th Ave, Gary, IN 46406-2821 | 2018-05-01 |
1184153827 | Stacey Williams | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2017-06-07 |
1205373347 | Terronda Hurn | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2017-01-27 |
1588036974 | Demia Chandler | Nurse's Aide | 4747 W 24th Ave, Gary, IN 46406-2821 | 2015-10-24 |
1871965384 | Danielle Elizabeth Carter | Licensed Practical Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2015-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134380009 | Aspire Academy | Local Education Agency (LEA) | 4900 W 15th Ave, Gary, IN 46406 | 2008-06-23 |
1821118589 | Comprehensive Physical Therapy | Physical Therapist | 7501 W. 15th Ave, Gary, IN 46406 | 2007-03-29 |
1205973336 | Comprehensive Therapy, Inc. | Physical Therapist | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
1588603286 | Bryan Michael Buksar | Physical Therapist | 7101 West 17th Avenue, Gary, IN 46406 | 2006-06-06 |
1285753103 | Comprehensive Care | Preventive Medicine | 7501 W. 15th Ave., Gary, IN 46406 | 2007-03-29 |
1891832929 | Michael Foreit | General Practice | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
1740327873 | Frank Messana | General Practice | 7501 W. 15th Ave., Gary, IN 46406 | 2007-01-30 |
1760651863 | Tolanda Somerville | Speech-Language Pathologist | 5901 W 7th Ave, Gary, IN 46406-1311 | 2008-02-22 |
1598934697 | Lisa Previs | Developmental Therapist | 5901 W 7th Ave, Gary, IN 46406-1311 | 2008-02-22 |
1598005423 | National Mentor Healthcare LLC | Custodial Care Facility | 6032 W 7th Ave, Gary, IN 46406-1314 | 2013-03-01 |
Find all providers in zip 46406 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467912345 | Tiffany Richardson | Peer Specialist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548879158 | Laura Kiefer | Peer Specialist | 2629 Marcy Ln, Fort Wayne, IN 46806-2591 | 2020-07-29 |
1619538949 | Brialle Walker | Peer Specialist | 941 Becker St, Hammond, IN 46320-2110 | 2019-06-26 |
1114425907 | Jenniffer J Friskney | Peer Specialist | 680 W Parkway Dr, Pleasant Lake, IN 46779-9513 | 2018-01-25 |
1457717183 | Renee Ivy | Peer Specialist | 7060 Madison St, Merrillville, IN 46410-3452 | 2016-01-11 |
1093186181 | Nancy Paschal | Peer Specialist | 17707 Auburn Rd, Huntertown, IN 46748-9760 | 2015-10-14 |
1922637149 | Richard Wyatt Sampson | Peer Specialist | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-08 |
1003445420 | Amber Wehle | Peer Specialist | 521 E 86th Ave Ste H, Merrillville, IN 46410-6236 | 2020-04-07 |
1598394108 | Sarah E Hoyt | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
1700415213 | Kristy Marie Shene | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
1811389182 | Anna Edens-szeszycki | Peer Specialist | 2105 N Meridian St, Suite 102, Indianapolis, IN 46202-1491 | 2015-02-24 |
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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.