MR. JUSTIN T. MCDONALD (NPI# 1285074591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285074591 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN T. MCDONALD |
| Credential | LPC, CAADC |
| Practice Address |
1050 Fort Palmer Rd Bolivar PA 15923-2516 |
| Practice Telephone | 8146595292 |
| Mailing Telephone | 8146595292 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC006723 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467600452 | Justin Douglas Mcdonald | Psychologist | White Earth Mental Health, 26246 Crane Rd, White Earth, MN 56591 | 2008-09-03 |
| 1164031555 | Justin Mcdonald | Massage Therapist | 4740 Flintridge Dr Ste 130, Colorado Springs, CO 80918-4273 | 2020-07-30 |
| 1912209545 | Justin Wade Mcdonald | Counselor | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2010-12-02 |
| Street Address |
1050 FORT PALMER RD |
| City | BOLIVAR |
| State | PA |
| Zip Code | 15923-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740469303 | Outside In School of Experiential Education, Inc | Substance Abuse Rehabilitation Facility | 1050 Fort Palmer Rd, Bolivar, PA 15923-2516 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285724 | Rebecca R Fetter | Counselor | 412 Shaffer Street, Bolivar, PA 15923 | 2019-10-07 |
| 1346201274 | Stacey A Robertson | Family Medicine | 802 Mckinley St, Bolivar Medical Center, Bolivar, PA 15923 | 2006-03-30 |
| 1396074324 | Primary Health Network | Clinic/Center | 802 Mckinley Street, Bolivar, PA 15923-0038 | 2009-12-22 |
| 1912153842 | Outside In Scholl of Experiential Education | Substance Abuse Rehabilitation Facility | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2008-08-12 |
| 1780134171 | Outside In School of Experiential Education, Inc | Community/Behavioral Health | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2016-10-10 |
| 1457739674 | Barbara Penn | Social Worker | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2015-05-07 |
| 1033549209 | Outside In School of Experiential Education, Inc. | Community/Behavioral Health | 196 Hamill School Rd, Bolivar, PA 15923-2525 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1952915761 | Carol Ehrhardt | Speech-Language Pathologist | 620 E Destin Ln, Bolivar, MO 65613-2253 | 2020-08-31 |
| 1811514672 | Joshua Charles Layman | Physical Therapist | 2103 S Springfield Ave, Bolivar, MO 65613-9686 | 2020-06-28 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1720603459 | Cassandre D. Viets | Registered Nurse | 1155 W Parkview St Ste 1c, Bolivar, MO 65613-7800 | 2020-06-09 |
| 1851915706 | Albany Place LLC | Home Health | 520 S Albany Ave, Bolivar, MO 65613-2116 | 2020-06-05 |
| 1538781679 | David R Richie | Psychologist | 680 Russell Rd, Bolivar, TN 38008-3573 | 2020-05-12 |
| 1386285724 | Rebecca R Fetter | Counselor | 412 Shaffer Street, Bolivar, PA 15923 | 2019-10-07 |
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| Find all providers in BOLIVAR | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285724 | Rebecca R Fetter | Counselor | 412 Shaffer Street, Bolivar, PA 15923 | 2019-10-07 |
| 1750744678 | Charles Jay Wilson | Counselor | 711 N Market Ave, Bolivar, MO 65613-1114 | 2016-03-29 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1205261617 | Bethany Bair | Counselor | 1182 Bimeler St Ne, Bolivar, OH 44612-8665 | 2013-09-05 |
| 1770600165 | Debby Black | Counselor | 104 B. West Jackson Street, Bolivar, MO 65613 | 2007-03-23 |
| 1043336589 | Kelley White | Counselor | 104 W Jackson St, B, Bolivar, MO 65613-1902 | 2007-03-22 |
| 1245250091 | New Medico Healthcare Corporation | Counselor | 3361 S Springfield Ave, Bolivar, MO 65613-9132 | 2006-07-21 |
| 1750351409 | John Richard Spooner | Counselor | 2085 S Boston Pl, Bolivar, MO 65613-2871 | 2006-01-25 |
| 1225690175 | New Way Psychological Services LLC | Counselor | 711 N Market Ave, Bolivar, MO 65613-1114 | 2019-07-01 |
| 1902385040 | Erica Ruth Miller | Counselor | 1901 Wommack Ave, Bolivar, MO 65613-3128 | 2018-08-09 |
| Find all providers in BOLIVAR | ||||
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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.