MRS. DEMETRIA A MACON (NPI# 1295142594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295142594 |
| Entity Type | Individual |
| Full Name | MRS. DEMETRIA A MACON |
| Credential | CADAC II; LAC |
| Practice Address |
1100 W. 6th Ave Gary IN 46402 |
| Mailing Address |
1514 Glenwood Ave. Griffith IN 46319 |
| Practice Telephone | 2198854264 |
| Practice Fax Number | 2192392944 |
| Mailing Telephone | 2195889223 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
86000292A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1100 W. 6TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| 1497254296 | Callie Stephens | Licensed Practical Nurse | 1100 W 6th Ave, Gary, IN 46402 | 2018-02-07 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988238 | Regina Hendley | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2017-05-11 |
| 1730530726 | Sandra Hunt | Counselor | 500 E 49th Ave, Gary, IN 46409-2808 | 2016-06-30 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1366855462 | Victoria Charleston | Counselor | 1110 W 5th Ave, Gary, IN 46402-1723 | 2014-06-05 |
| 1598196628 | Darcelmarie Smith | Counselor | 839 Broadway Ste 104, Gary, IN 46402-2414 | 2013-11-27 |
| 1457982928 | Raquel Wood | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-02-03 |
| 1306497797 | Heather Hollenbacher | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-09-26 |
| 1407405335 | Alexandria Ann Bucher | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-09-04 |
| 1578110029 | Debbie A Bales | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-20 |
| 1780230581 | Steven M Hernandez | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-16 |
| Find all providers in GARY | ||||
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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.