PEARL STREET COUNSELING, LLC (NPI# 1396209623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396209623 |
| Entity Type | Organization |
| Organization Name | PEARL STREET COUNSELING, LLC |
| Practice Address |
421 N Pearl Street Wayne NE 68787 |
| Mailing Address |
85365 567th Avenue Winside NE 68790 |
| Practice Telephone | 4022864891 |
| Mailing Telephone | 4022864891 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | MS. LIN M BRUMMELS (AUTHORIZED AGENT) |
| Authorized Official Telephone | 4022864891 |
| Authorized Official Credential | LMHP, CDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEARL STREET COUNSELING, LLC | 241 East Broadway, Suite 2, Eugene, OR 97401 |
| Street Address |
421 N PEARL STREET |
| City | WAYNE |
| State | NE |
| Zip Code | 68787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760883367 | Northeast Nebraska Public Health Department | Public Health or Welfare | 215 Pearl Street, Wayne, NE 68787 | 2014-09-15 |
| 1942419353 | Muffin Elaine Morris | Specialist/Technologist | 11 11 Main Street, Wayne State College, Wayne, NE 68787 | 2007-05-22 |
| 1801952601 | Craig W Braun | Dentist | 206 E 7th St, Wayne, NE 68787 | 2006-12-28 |
| 1124120464 | Robert Kevin Krugman | Chiropractor | 214 Pearl Street, Wayne, NE 68787 | 2006-09-05 |
| 1659722908 | Michele Albers | Physical Therapist | 1200 Providence Road, Wayne, NE 68787 | 2016-06-28 |
| 1730599762 | Angela Mclaughlin | Family Medicine | 615 E 14th St, Wayne, NE 68787 | 2014-04-29 |
| 1083977474 | Amy Joan Bowers | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-06-20 |
| 1205195831 | Michelle Theis | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-05-16 |
| 1649568775 | Grace Counseling Services | Community/Behavioral Health | 111 Main Street, Wayne, NE 68787 | 2011-07-11 |
| 1780975144 | Magnuson Hopkins Eyecare PC | Optometrist | 1112 W 7th St, Wayne, NE 68787 | 2011-04-20 |
| Find all providers in zip 68787 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574250 | Jamie Klein | Counselor | 106 Pancake Hollow Dr, Wayne, NJ 07470-3205 | 2020-09-27 |
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1942832860 | Anne Marie Crean Mcdonnell | Counselor | 237 E Lancaster Ave # 231, Wayne, PA 19087-3535 | 2020-02-08 |
| 1073070785 | Borahm Song | Counselor | 9 Lenape Trl, Wayne, NJ 07470-4432 | 2019-02-28 |
| 1285102327 | Quanita L Baxter | Counselor | 65 Old Eagle School Rd, Wayne, PA 19087-2563 | 2018-11-07 |
| 1033612114 | Jessica Ellyn Schumacher | Counselor | 487 Devon Park Dr Ste 207, Wayne, PA 19087-1808 | 2018-03-14 |
| 1649653718 | Paula M Peterson | Counselor | 803 Providence Rd, Suite 102, Wayne, NE 68787-1623 | 2015-07-07 |
| 1417359225 | Katherine Ann Bartels | Counselor | 212 Sherman St, Wayne, NE 68787-1717 | 2014-09-23 |
| 1689019218 | Paula Danzinger | Counselor | 5 Sunset Ter, Wayne, NJ 07470-4216 | 2013-05-09 |
| 1518221183 | Rebecca Goldstein | Counselor | 121 N Wayne Ave Ste 300, Wayne, PA 19087-3542 | 2012-06-28 |
| Find all providers in WAYNE | ||||
Please comment or provide details below to improve the information on PEARL STREET COUNSELING, LLC.
| 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.