CHITRADEVI C CARADEDIOS (NPI# 1275026247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275026247 |
| Entity Type | Individual |
| Full Name | CHITRADEVI C CARADEDIOS |
| Credential | LLMFT; LLPC |
| Practice Address |
8080 Moorsbridge Rd Ste 102 Portage MI 49024-4422 |
| Mailing Address |
1656 Barnsley Ct Lowell MI 49331-8677 |
| Practice Telephone | 6169201586 |
| Mailing Telephone | 6167803604 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
6401016657 | MI | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 4101006799 | MI | Behavioral Health & Social Service Providers |
| Street Address |
8080 MOORSBRIDGE RD STE 102 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140388 | Carin Lea Johnson | Social Worker | 8080 Moorsbridge Rd Ste 102, Portage, MI 49024-4422 | 2020-07-03 |
| 1114491008 | Samantha Shameem Epp | Social Worker | 8080 Moorsbridge Rd Ste 102, Portage, MI 49024-4422 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255899761 | Samantha Alyse Sanders | Marriage & Family Therapist | 1651 W Centre Ave Ste 203, Portage, MI 49024-6313 | 2019-03-05 |
| 1609123132 | Jonna Beth Phillips | Marriage & Family Therapist | 8120 Moorsbridge Rd Ste 203, Portage, MI 49024-7414 | 2012-08-15 |
| 1306052295 | Rebecca Anna Kaiser | Marriage & Family Therapist | 317 De Witt St, Portage, WI 53901-2155 | 2007-05-15 |
| 1942868419 | Brave Counseling and Coaching, Pllc | Marriage & Family Therapist | 8120 Moorsbridge Rd Ste 203, Portage, MI 49024-7414 | 2019-05-30 |
| 1700338811 | Michele Grantham | Marriage & Family Therapist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2016-10-25 |
| 1770921017 | Erin Shawnna Grimm | Marriage & Family Therapist | 317 Dewitt St, Portage, WI 53901-2155 | 2013-06-10 |
| 1093955650 | Karen B. Helmeke | Marriage & Family Therapist | 724 W Centre Ave, Center for Counseling and Wellness Ste 207, Portage, MI 49024-6310 | 2009-02-23 |
| 1972625796 | Gary H. Bischof | Marriage & Family Therapist | 724 W Centre Ave, Suite 207, Portage, MI 49024-6310 | 2007-04-04 |
| 1407951767 | Kathleen Cook | Marriage & Family Therapist | 2639 New Pinery Rd Ste 1, Portage, WI 53901-1110 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588520 | Janice Marie Twesten | Marriage & Family Therapist | 7066 Country Springs Dr Sw, Byron Center, MI 49315-8129 | 2020-11-06 |
| 1891392288 | Megan E Six | Marriage & Family Therapist | 733 Madison Ave Se, Grand Rapids, MI 49503-5317 | 2020-10-08 |
| 1053927350 | Sally Catherine Demshur | Marriage & Family Therapist | 2534 Lupine Ct, Okemos, MI 48864-3366 | 2020-09-22 |
| 1801407481 | Regina V. Grujovski | Marriage & Family Therapist | 25156 Pine View Ave, Warren, MI 48091-1567 | 2020-08-16 |
| 1649892548 | Angie L Nelson-gates | Marriage & Family Therapist | 25 Centennial Ave Nw, Grand Rapids, MI 49504-5921 | 2020-05-13 |
| 1699307512 | James Glen Clapper | Marriage & Family Therapist | 5851 Gilman St, Garden City, MI 48135-2512 | 2020-02-08 |
| 1801427323 | Relationship Therapy LLC | Marriage & Family Therapist | 1800 N Milford Rd Ste 101, Milford, MI 48381-1047 | 2020-02-03 |
| 1508409715 | Susan Lesley King Roney | Marriage & Family Therapist | 934 Cambridge Dr Se, Grand Rapids, MI 49506-3360 | 2019-10-21 |
| 1114575610 | Kymberly M Cunningham | Marriage & Family Therapist | 20220 Mitchell St, Detroit, MI 48234-1577 | 2019-08-28 |
| 1528616224 | Edythe Annette Brown | Marriage & Family Therapist | 26861 Bloomfield Dr S, Lathrup Village, MI 48076-4403 | 2019-08-27 |
| 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.