PROF. CHESLY SUZANNE HERD (NPI# 1295031854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295031854 |
| Entity Type | Individual |
| Full Name | PROF. CHESLY SUZANNE HERD |
| Credential | L.P.C., L.C.D.C. |
| Practice Address |
308 Carol Ln Midland TX 79705-3027 |
| Practice Telephone | 4322882450 |
| Practice Fax Number | 4326856413 |
| Mailing Telephone | 4322882450 |
| Mailing Fax Number | 4326856413 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 62679 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10219 | TX | Behavioral Health & Social Service Providers |
| Street Address |
308 CAROL LN |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| 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 |
|---|---|---|---|---|
| 1598308710 | Sonya Patrice Price | Counselor | 6600 Kitten Lake Dr Apt 1224, Midland, GA 31820-3786 | 2019-10-21 |
| 1265966253 | Esther Hasting | Counselor | 3103 Mark Ln, Midland, TX 79707-5358 | 2017-04-17 |
| 1053794164 | Lewis Busbee | Counselor | 5209 Anetta Dr, Midland, TX 79703-6703 | 2015-07-07 |
| 1043601867 | Anthony Morish | Counselor | 34 Meadow Valley Court, Midland, GA 31820-4393 | 2015-02-16 |
| 1912316670 | Ramsey Counseling and Coaching | Counselor | 3301 Neely Ave, Midland, TX 79707-5808 | 2014-08-07 |
| 1669719597 | Graham Anthony Dixon | Counselor | 112 S Loraine St Ste 307, Midland, TX 79701-5258 | 2013-01-11 |
| 1639476005 | Detra Shunell Flowers | Counselor | 4406 Cherrywood Dr, Midland, TX 79707-2622 | 2011-02-22 |
| 1467626358 | Jeri Jo Kounce | Counselor | 4500 W Illinois Ave, Suite 119a, Box 5, Midland, TX 79703-5491 | 2008-04-22 |
| 1972789881 | Sherlynn Kerns | Counselor | 1498 E Prairie Rd, Midland, MI 48640-5001 | 2008-01-10 |
| 1891731501 | Paul A Jurek | Counselor | 1031 Andrews Hwy, Suite 304a, Midland, TX 79701-3915 | 2006-06-21 |
| Find all providers in MIDLAND | ||||
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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.