MRS. PEGGY KAY FORTIN (NPI# 1396075602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396075602 |
| Entity Type | Individual |
| Full Name | MRS. PEGGY KAY FORTIN |
| Credential | LPC |
| Practice Address |
1392 Maple Dr Fairview MI 48621-8703 |
| Practice Telephone | 9898485644 |
| Practice Fax Number | 9898487411 |
| Mailing Telephone | 9898485644 |
| Mailing Fax Number | 9898487411 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401010385 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1392 MAPLE DR |
| City | FAIRVIEW |
| State | MI |
| Zip Code | 48621-8703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339196 | St Joseph Health System | Clinic/Center | 1392 Maple Dr, Fairview, MI 48621-8703 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134408511 | Mclaren Bay Region | Internal Medicine | 1910 E Miller Rd, Fairview, MI 48621 | 2011-08-16 |
| 1730177015 | Ausable Valley Continuing Care Retirement Community, Inc. | Nursing Facility/Intermediate Care Facility | 1390 Maple Dr, Fairview, MI 48621-8703 | 2005-10-11 |
| 1033695127 | Alora Ehlert | Occupational Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-07-12 |
| 1780187526 | Mayuree Gopal Sawant | Physical Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-03-16 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1003253170 | Northsport Physical Therapy & Rehabilitation PC | Physical Therapist | 1968 E Miller Rd, Fairview, MI 48621-8717 | 2013-05-30 |
| 1033145842 | Cherie A Mckenzie | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2006-06-23 |
| 1760848162 | Courtney Marie Bolen | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2016-01-14 |
| 1467674440 | Fairview Chiropractic Pllc | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2007-05-02 |
| 1639108780 | Mclaren Primary Care | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-07-01 |
| Find all providers in zip 48621 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365978 | Rebecca Sue Bonfey | Counselor | 2 Laura Jackson Rd, Fairview, NC 28730-8700 | 2017-09-15 |
| 1942638333 | Patricia Kline | Counselor | 110 Weston Dr, Fairview, TX 75069-1937 | 2013-10-22 |
| 1366878514 | Michael J Rudolph | Counselor | 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 | 2013-09-19 |
| 1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
| 1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
| 1982851291 | Diane Paige | Counselor | 9 Miller Rd, Fairview, NC 28730-9533 | 2008-08-19 |
| 1891990800 | Sonita Chevette Gibbs | Counselor | 83 Blue Ridge Development Road, Fairview, NC 28730-1735 | 2007-06-19 |
| 1558383026 | Lea Almond Tate | Counselor | 136 Laurel Haven Road, Fairview, NC 28730 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
| 1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
| 1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
| 1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
| 1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.