STACEY L FLESZAR (NPI# 1275952095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275952095 |
| Entity Type | Individual |
| Full Name | STACEY L FLESZAR |
| Credential | MA, LLPC, CAADC |
| Practice Address |
3800 Packard St Suite 210 Ann Arbor MI 48108-2073 |
| Practice Telephone | 7349751602 |
| Mailing Telephone | 7349751602 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C-02720 | MI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401012775 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3800 PACKARD ST SUITE 210 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730265364 | Elmer Wayne Byrum | Social Worker | 3800 Packard St, Suite 120, Ann Arbor, MI 48108-2073 | 2006-10-27 |
| 1619515806 | William J Cummins | Counselor | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2019-12-18 |
| 1598235483 | Sarah Emeritz | Social Worker | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2018-12-04 |
| 1770930257 | Jennifer S King | Social Worker | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2016-05-16 |
| 1467807834 | Melissa Ontko | Social Worker | 3800 Packard St, Suite 160, Ann Arbor, MI 48108-2073 | 2016-05-04 |
| 1417345398 | Ann Arbor Vamc | Clinic/Center | 3800 Packard St, Suite 120 and 130, Ann Arbor, MI 48108-2073 | 2014-12-31 |
| 1588005730 | Julie Dolinger Cushman | Social Worker | 3800 Packard St, Ste 210, Ann Arbor, MI 48108-2073 | 2013-07-16 |
| 1255589412 | Anne Drake | Counselor | 3800 Packard St, Ann Arbor, MI 48108-2073 | 2008-08-29 |
| 1275790354 | David Grillo | Social Worker | 3800 Packard St, Ste. 120, Ann Arbor, MI 48108-2073 | 2008-05-17 |
| 1295863033 | Kimberly Joy Marker | Registered Nurse | 3800 Packard St, Ann Arbor, MI 48108 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735040 | Adesola Garrett | Counselor | 2002 Hogback Rd Ste 17, Ann Arbor, MI 48105-9736 | 2020-03-20 |
| 1598227357 | Morgan Ariel Durocher | Counselor | 2835 Carpenter Rd Ste 5&7, Ann Arbor, MI 48108-1172 | 2019-04-02 |
| 1497210900 | Marie Therese Hocott | Counselor | 2301 Platt Rd Ste 10, Ann Arbor, MI 48104-5149 | 2019-02-08 |
| 1730675240 | Jamie Renken | Counselor | 3829 Waldenwood Dr, Ann Arbor, MI 48105-3004 | 2018-07-09 |
| 1538654660 | Lorrie Edwards Licensed Counselor | Counselor | 2513 Hampshire Rd, Ann Arbor, MI 48104-6535 | 2018-07-01 |
| 1750880282 | Keri Lynn Warren | Counselor | 1945 Pauline Blvd Ste 10, Ann Arbor, MI 48103-5047 | 2018-02-11 |
| 1508370818 | Emily Ann Compton | Counselor | 150 S 5th Ave # 204, Ann Arbor, MI 48104-1999 | 2017-11-22 |
| 1497282180 | Matt Helm | Counselor | 625 E Liberty St Ste 205, Ann Arbor, MI 48104-2013 | 2017-05-12 |
| 1609322544 | Tahani Dari | Counselor | 4390 Blossom Hill Trl, Ann Arbor, MI 48108-4300 | 2016-08-31 |
| 1851766141 | Irene Mass Ametrano | Counselor | 1513 Montclair Pl, Ann Arbor, MI 48104-4342 | 2015-12-11 |
| Find all providers in ANN ARBOR | ||||
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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.