MS. GWEN STINES (NPI# 1275526832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275526832 |
| Entity Type | Individual |
| Full Name | MS. GWEN STINES |
| Credential | LCSW |
| Practice Address |
307 S Main St Suite 305 Elkhart IN 46516-3102 |
| Practice Telephone | 5745233347 |
| Practice Fax Number | 5742967560 |
| Mailing Telephone | 5745233347 |
| Mailing Fax Number | 5742967560 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 34002493A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LCSW LICENSE | 34002493A | 01 |
| Street Address |
307 S MAIN ST SUITE 305 |
| City | ELKHART |
| State | IN |
| Zip Code | 46516-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152251 | Gloria Jeanne Barker | Counselor | 307 S Main St, Suite 305, Elkhart, IN 46516-3102 | 2005-08-29 |
| 1912906058 | Roger A Pederson | Counselor | 307 S Main St, Suite 305, Elkhart, IN 46516-3102 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184252017 | Channel Smith | Counselor | 1809 Visscher Dr, Elkhart, IN 46514-6505 | 2020-03-27 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1346424314 | Roxanne Jeanette Watts | Counselor | 3221 Homer Ave, Elkhart, IN 46517-2659 | 2007-12-26 |
| 1376740886 | Michael George Swihart | Counselor | 58539 C.r. 13, Elkhart, IN 46516 | 2007-06-28 |
| 1831222827 | Debra S Bledsoe | Counselor | 29861 Florida Ave, Elkhart, IN 46516-1351 | 2007-03-13 |
| 1821129669 | Roberto Fernando Richardson | Counselor | 500 N Nappanee St Ste 4a, Elkhart, IN 46514-1502 | 2007-03-07 |
| 1003416108 | Rachel Lauer | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-28 |
| 1619576444 | Kristina Partridge | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-22 |
| 1013516475 | Emily Schrock | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-18 |
| 1568061927 | William Larry | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-18 |
| Find all providers in ELKHART | ||||
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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.