JESSICA PREVOST (NPI# 1366900813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366900813 |
Entity Type | Individual |
Full Name | JESSICA PREVOST |
Practice Address |
2401 S Linden Rd Flint MI 48532-9800 |
Mailing Address |
6549 Town Center Dr Ste A Clarkston MI 48346-4824 |
Practice Telephone | 8109574310 |
Mailing Telephone | 2486206400 |
Enumeration Date | 2019-03-04 |
Last Update Date | 2019-05-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
114 Orchard Lake Rd, Pontiac, MI 483412244 | 2488587766 |
Street Address |
2401 S LINDEN RD |
City | FLINT |
State | MI |
Zip Code | 48532-9800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487766606 | Jeannette L Hall | Social Worker | 2401 S Linden Rd, Flint, MI 48532-9800 | 2006-09-01 |
1881202497 | Shanae Dawson | Social Worker | 2401 S Linden Rd, Flint, MI 48532-9800 | 2020-07-20 |
1952929457 | Nicole Salisbury | Social Worker | 2401 S Linden Rd, Flint, MI 48532-9800 | 2020-07-10 |
1639728405 | Karim Kabbani | Psychologist | 2401 S Linden Rd, Flint, MI 48532-9800 | 2019-09-05 |
1861040453 | Haley Braman | Psychologist | 2401 S Linden Rd, Flint, MI 48532-9800 | 2019-08-28 |
1245885730 | Kristina Breidenstein | Counselor | 2401 S Linden Rd, Flint, MI 48532-9800 | 2019-08-02 |
1649835786 | Sheila M. Starks | Counselor | 2401 S Linden Rd, Flint, MI 48532-9800 | 2019-05-03 |
1942762521 | Qudonya Smith | Social Worker | 2401 S Linden Rd, Flint, MI 48532-9800 | 2019-04-03 |
1669931093 | Catheline Kim | Social Worker | 2401 S Linden Rd, Flint, MI 48532-9800 | 2019-03-15 |
1790259851 | William Wiles Jr. | Social Worker | 2401 S Linden Rd, Flint, MI 48532-9800 | 2019-01-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
Find all providers in zip 48532 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255930640 | Nikki Lynn Moorman | Counselor | 1295 S Linden Rd Ste F, Flint, MI 48532-3498 | 2020-10-18 |
1225635568 | Nichole Wright | Counselor | 5294 Timberwood Point Dr, Flint, MI 48532-2265 | 2020-10-08 |
1821603549 | Shift Consulting | Counselor | 2425 S Linden Rd Ste D138, Flint, MI 48532-5482 | 2020-09-10 |
1730797291 | Lauren Hawkins | Counselor | 18420 Serenity Way, Flint, TX 75762-9625 | 2020-07-20 |
1588214068 | Omni Odum | Counselor | 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 | 2019-09-16 |
1992357339 | Jennifer E Malone | Counselor | 1328 Williamsburg Rd, Flint, MI 48507-5628 | 2019-07-16 |
1073076055 | Michelle Lowder | Counselor | 17238 Pennie Ln, Flint, TX 75762-9148 | 2019-04-08 |
1457814550 | Monica Lynn Blackwell | Counselor | 2425 S Linden Rd Ste 134, Flint, MI 48532-5473 | 2019-04-08 |
1679080089 | Candace Shuel | Counselor | 2387 S Linden Rd Ste 124, Flint, MI 48532-5487 | 2018-01-08 |
1649786500 | Kristen Alexis Bedevian | Counselor | 16735 Gresham Cir # 101, Flint, TX 75762-3510 | 2017-12-14 |
Find all providers in FLINT |
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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.