MRS. GINA MARIE MERRITT (NPI# 1275751323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275751323 |
Entity Type | Individual |
Full Name | MRS. GINA MARIE MERRITT |
Other Name | MS. GINA MARIE BENSON |
Credential | LMSW |
Practice Address |
11304 Edgewater Dr Suite D Allendale MI 49401-8499 |
Practice Telephone | 6168921070 |
Mailing Telephone | 6168921070 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2009-02-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6801085401 | MI | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801085401 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1712452 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376103952 | Gina Rae Merritt | Massage Therapist | 236 E Main St, Ashland, OR 97520-1831 | 2019-06-17 |
1740403468 | Gina Merritt | Internal Medicine | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2007-04-11 |
Street Address |
11304 EDGEWATER DR SUITE D |
City | ALLENDALE |
State | MI |
Zip Code | 49401-8499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225410764 | Christie Custer | Social Worker | 11304 Edgewater Dr, Suite D, Allendale, MI 49401-8499 | 2015-06-21 |
1205187093 | Solace Counseling Services | Social Worker | 11304 Edgewater Dr, Suite D, Allendale, MI 49401-8499 | 2012-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
Find all providers in zip 49401 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730664970 | P&t Therapy Group LLC | Counselor | 989 Water St, Allendale, SC 29810-3413 | 2018-10-02 |
1720498785 | Cory Anthony Russell | Counselor | 438 Barnwell Rd, Allendale, SC 29810 | 2014-04-30 |
1669702908 | Jennifer Michelle Politis | Counselor | 70 W Allendale Ave Ste D, Allendale, NJ 07401-1798 | 2010-01-08 |
1366564601 | Mary Ellen M Stiehl | Counselor | 175 E Crescent Ave, Allendale, NJ 07401 | 2007-04-06 |
1457444218 | James Freeman | Counselor | 603 Barnwell Road, Allendale, SC 29810 | 2006-10-02 |
1700980240 | Yokina K. Williams | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-09-12 |
1306949656 | Christy Jinks | Counselor | 603 Barnwell Rpad, Allendale, SC 29810 | 2006-09-05 |
1144866542 | Beautiful Journey Counseling | Counselor | 70 W Allendale Ave Ste D, Allendale, NJ 07401-1798 | 2019-11-20 |
1447801675 | Rachel A Calabrese | Counselor | 70 W Allendale Ave, Fl 2, Suite D, Allendale, NJ 07401-1798 | 2019-09-29 |
1558912634 | Rosen & Saul Associates, LLC | Counselor | 115 W Allendale Ave, Allendale, NJ 07401-1734 | 2019-09-20 |
Find all providers in ALLENDALE |
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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.