MICHAEL T COUNTRYMAN


Address: 412 N Saint Nicholas St, Eureka, KS 67045-1857
Phone: 6205835543

MICHAEL T COUNTRYMAN (NPI# 1407055924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407055924
Entity Type Individual
Full Name MICHAEL T COUNTRYMAN
Credential MS
Practice Address 412 N Saint Nicholas St
Eureka
KS 67045-1857
Practice Telephone 6205835543
Mailing Telephone 6205835543
Enumeration Date 2007-07-13
Last Update Date 2007-07-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
698 KS Behavioral Health & Social Service Providers

Office Location

Street Address 412 N SAINT NICHOLAS ST
City EUREKA
State KS
Zip Code 67045-1857

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1316368194 Martha Heffron Behavioral Analyst 1313 E 50 Road, Eureka, KS 67045 2013-12-23
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1629044961 Greenwood County Hospital Emergency Medicine 100 West 16th St., Eureka, KS 67045-1047 2006-02-27
1861695835 Greenwood County Hospital Family Medicine 100 West 16th St., Eureka, KS 67045-1047 2007-06-07
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1275531485 Greenwood County Hospital Home Health 100 W 16th St, Eureka, KS 67045-1064 2005-07-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1205233186 Katie Woerner Counselor 427 F St Ste 229, Eureka, CA 95501 2014-11-20
1750539755 Charla Rowe Counselor 930 6th St, Eureka, CA 95501 2008-09-03
1497938872 Ruth M. Richards-schlarman Counselor 540 4th Ave. East, Eureka, MT 59917-0814 2007-12-09
1346422672 Concepcion Leona Sousa Counselor 2145 Myrtle Ave, Eureka, CA 95501 2007-11-28
1316161003 Karen Kuulei Fowler Counselor 1650 Sinclair Creek Rd, Eureka, MT 59917-9654 2007-04-12
1114054368 Linda E. Dean Counselor 2002 Russ St, Eureka, CA 95501-4718 2007-02-27
1578699260 Redwood Community Action Agency Counselor 1100 California Street, Eureka, CA 95501 2007-02-26
1912040502 Kimberly Jean Herkert Counselor 3525 Park St, Eureka, CA 95501-1549 2007-02-14
1184765265 Jessica Ada Duke Counselor 134 D St, Suite 301, Eureka, CA 95501-0455 2007-02-09
1871630442 Redwood Community Action Agency Counselor 537 9th St, Eureka, CA 95501-1861 2007-01-31
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Competitor

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City EUREKA
Zip Code 67045

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Dataset Information

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.

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