ZACHARY SHEA ROUSELL (NPI# 1275032641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275032641 |
| Entity Type | Individual |
| Full Name | ZACHARY SHEA ROUSELL |
| Practice Address |
925 Highway V V Kennett MO 63857-0071 |
| Practice Telephone | 5733592600 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
925 HIGHWAY V V |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-0071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316983463 | Eric Snipes | Counselor | 925 Highway V V, Kennett, MO 63857 | 2006-06-20 |
| 1497371975 | Kasey Marie Holifield | Peer Specialist | 925 Highway V V, Kennett, MO 63857-0071 | 2020-06-22 |
| 1548890577 | Autumn Flowers | Behavior Technician | 925 Highway V V, Kennett, MO 63857 | 2020-01-17 |
| 1730726019 | Brittany Elisabeth Axelson | Driver | 925 Highway V V, Kennett, MO 63857-0071 | 2019-12-05 |
| 1851957856 | Joleen Brege | Behavior Technician | 925 Highway V V, Kennett, MO 63857-0071 | 2019-05-15 |
| 1659836930 | David Eichler | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2019-01-31 |
| 1720551377 | Heather Overton | Behavior Technician | 925 Highway V V, Kennett, MO 63857 | 2019-01-07 |
| 1780151795 | Angela Peters | Behavior Technician | 925 Highway V V, Kennett, MO 63857-0071 | 2018-10-29 |
| 1811471592 | Lessie Ellen Long | Peer Specialist | 925 Highway V V, Kennett, MO 63857-3866 | 2018-09-19 |
| 1609355213 | Amanda Vazquez | Case Manager/Care Coordinator | 925 Highway V V, Kennett, MO 63857 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1205268356 | Larry Shawn Sando | Counselor | 925 State Route V V, Kennett, MO 63857 | 2013-07-31 |
| 1013023860 | Carl Rodney Fisher | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2006-08-22 |
| 1598305351 | Lora Nicole Wilson | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2020-01-09 |
| 1659836930 | David Eichler | Counselor | 925 Highway V V, Kennett, MO 63857-0071 | 2019-01-31 |
| 1568963981 | Beulah Mae Brown | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2018-02-21 |
| 1952814741 | Ruth Vaughn | Counselor | 925 Highway Vv, Kennett, MO 63857 | 2017-11-15 |
| 1194238089 | William Paul Malloy | Counselor | 925 State Hwy Vv, Kennett, MO 36857 | 2017-11-14 |
| 1790200517 | Joshua Damon Brown | Counselor | 1109 Jones St, Kennett, MO 63857-3824 | 2017-08-14 |
| 1659828242 | Tanya Ellis | Counselor | 925 Highway Vv, Kennett, MO 63857-0071 | 2016-09-01 |
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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.