KINGDOM WELLNESS COUNSELING AND MENTORING CENTER (NPI# 1437528437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437528437 |
Entity Type | Organization |
Organization Name | KINGDOM WELLNESS COUNSELING AND MENTORING CENTER |
Practice Address |
3400 W Riggin Rd Unit #5 Muncie IN 47304-6140 |
Practice Telephone | 7657494913 |
Mailing Telephone | 7657494913 |
Enumeration Date | 2015-09-20 |
Last Update Date | 2015-09-20 |
Authorized Official Name | TAQUETTA S BAKER (OWNER) |
Authorized Official Telephone | 7657494913 |
Authorized Official Credential | ME.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
3400 W RIGGIN RD UNIT #5 |
City | MUNCIE |
State | IN |
Zip Code | 47304-6140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
Find all providers in zip 47304 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588025951 | Amber Bloom | Counselor | 1725 S Liberty St, Muncie, IN 47302-3158 | 2016-03-14 |
1760840326 | Tangela Edwards | Counselor | 801 E Seymour, Muncie, IN 47302-2578 | 2016-02-10 |
1063820801 | Charles Kirk Sr. | Counselor | 4346 S Pinewood Dr, Muncie, IN 47302-6215 | 2014-07-24 |
1306250998 | John Gothard | Counselor | 1220 W North St, Muncie, IN 47303-3619 | 2014-06-11 |
1043637382 | Dezi Price | Counselor | 4422 W Woods Edge Ln, Muncie, IN 47304-6081 | 2014-03-25 |
1962561654 | Behavioral Support Services, LLC. | Counselor | 405 S. Walnut St., Suite 309-11, Muncie, IN 47305 | 2006-12-08 |
1255941761 | Kaylee Mcdonald | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-08-10 |
1043820608 | Samantha Girot | Counselor | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2020-08-07 |
1063036903 | Margaret Ann Dorfner | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-06-06 |
1265052278 | Deyon Brumby | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-04-20 |
Find all providers in MUNCIE |
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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.