WEDGWOOD CHRISTIAN SERVICES (NPI# 1326122516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326122516 |
| Entity Type | Organization |
| Organization Name | WEDGWOOD CHRISTIAN SERVICES |
| Other Organization Name | WEDGWOOD CHRISTIAN COUNSELING CENTER |
| Practice Address |
3180 Racquet Club Dr Ste. G Traverse City MI 49684-4797 |
| Practice Telephone | 2319222885 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. RUTH LECKRONE (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 2319222885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401007685 | MI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Wedgwood Christian Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730302308 | Wedgwood Christian Services | Case Management | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-04-11 |
| 1215047667 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2006-08-30 |
| 1154505337 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2007-12-24 |
| 1235252750 | Wedgwood Christian Services | Counselor | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2007-04-09 |
| 1972635761 | Wedgwood Christian Services | Counselor | 2520 Eastern Ave Se, Grand Rapids, MI 49507-3633 | 2007-03-09 |
| 1902997224 | Wedgwood Christian Services | Clinic/Center | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2006-09-28 |
| Street Address |
3180 RACQUET CLUB DR STE. G |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942307566 | Lisa L Franseen | Psychologist | 3180 Racquet Club Dr, Ste G, Traverse City, MI 49684-4797 | 2006-09-17 |
| 1538619853 | Sarah Favara | Mechanotherapist | 3180 Racquet Club Dr, Traverse City, MI 49684-4797 | 2016-10-11 |
| 1770774507 | Sue A Winter | Social Worker | 3180 Racquet Club Dr, Suite G, Traverse City, MI 49684-4797 | 2007-08-07 |
| 1902947088 | Bay Area Counseling, LLC | Counselor | 3180 Racquet Club Dr, Traverse City, MI 49684-4797 | 2007-02-09 |
| 1659428589 | Ruth Maxine Leckrone | Social Worker | 3180 Racquet Club Dr, Traverse City, MI 49684-4797 | 2007-01-04 |
| 1912061359 | Shannon Kristi Olshove | Psychologist | 3180 Racquet Club Dr, Suite G, Traverse City, MI 49684-4797 | 2006-12-20 |
| 1578634291 | Brandon C. White | Chiropractor | 3180 Racquet Club Dr, Suite B, Traverse City, MI 49684-4797 | 2006-11-13 |
| 1154402725 | Lena Elizabeth Trolz | Social Worker | 3180 Racquet Club Dr, Sutie G, Traverse City, MI 49684-4797 | 2006-10-18 |
| 1154419547 | Laura E Franseen | Psychiatry & Neurology | 3180 Racquet Club Dr, Traverse City, MI 49684-4797 | 2006-10-11 |
| 1154419828 | Mary Louise Schaub | Social Worker | 3180 Racquet Club Dr, Suite G, Traverse City, MI 49684-4797 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720321 | Jeanette Fay Peltola | Counselor | 968 Harbor Ct, Traverse City, MI 49685-9355 | 2020-08-11 |
| 1922629047 | International Center for Integral Health and Education | Counselor | 263 Midtown Dr, Traverse City, MI 49684-5752 | 2020-04-29 |
| 1255961868 | Joan M Ledford | Counselor | 928 S Garfield Avenue, Suite 3a, Traverse City, MI 49686-0000 | 2020-01-23 |
| 1942840137 | Kristen Nicole Vanderkolk | Counselor | 928 S Garfield Ave Ste 3a, Traverse City, MI 49686-2403 | 2020-01-15 |
| 1801454459 | Anchor and Hope Counseling, LLC | Counselor | 2150 S Airport Rd W Ste C, Traverse City, MI 49684-4705 | 2019-05-30 |
| 1467809723 | Jakob Rossi | Counselor | 733 E 8th St Ste 204, Traverse City, MI 49686-2665 | 2016-05-17 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| 1649660226 | Gerald Micketti | Counselor | 1200 W. 11th Street, Suite 111, Traverse City, MI 49684-3288 | 2015-02-03 |
| 1396155149 | Andra Williams | Counselor | 954 Business Park Dr, Suite 2, Traverse City, MI 49686-8763 | 2014-05-02 |
| 1922439835 | Tara Carroll | Counselor | 225 W 14th St, Traverse City, MI 49684-4037 | 2013-12-02 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on WEDGWOOD CHRISTIAN SERVICES.
| 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.