AUTUMN JEWEL AYALA (NPI# 1467969337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467969337 |
Entity Type | Individual |
Full Name | AUTUMN JEWEL AYALA |
Credential | BHS, DP-C |
Practice Address |
863 N Pine Rd Ste A Essexville MI 48732-2159 |
Practice Telephone | 9899283566 |
Practice Fax Number | 9893919596 |
Enumeration Date | 2018-01-02 |
Last Update Date | 2018-01-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
863 N PINE RD STE A |
City | ESSEXVILLE |
State | MI |
Zip Code | 48732-2159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720314008 | Recovery Pathways, LLC | Clinic/Center | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2009-10-21 |
1174145270 | Nicholas Lee Berkobien | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2020-05-12 |
1699308411 | Kari Peckham | Case Manager/Care Coordinator | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2020-02-20 |
1134765357 | Ladora Sharrell Elliott | Case Manager/Care Coordinator | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2019-11-22 |
1881235513 | Marnie Jo Westphal | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2019-10-03 |
1649821257 | Alyssa Shannon Vermeesch | Case Manager/Care Coordinator | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2019-09-25 |
1689137903 | Kimberly Kay Daniels | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2019-04-12 |
1477023653 | Kayle Amber Wisniewski | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-11-29 |
1528537917 | Catherine Ann Macomber | Social Worker | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-11-15 |
1164999769 | Trishia Pauline Watson | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-11-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346758802 | Jonathan A Dereszynski | Massage Therapist | 1491 N Wagner Rd, Essexville, MI 48732 | 2018-01-18 |
1033668710 | Cody Forbes | Specialist/Technologist | 1818 Golfview Drive, Apt 3, Essexxville, MI 48732 | 2016-09-23 |
1437510021 | Timothy Phillips | Technician, Other | 853 N. Sheurmann Rd. Apt.404, Essexville, MI 48732 | 2016-03-10 |
1326434986 | Allen Wang | Pharmacist | 3592 Center Ave Ste 1, Essexville, MI 48732 | 2015-04-10 |
1093978173 | Rashmi Goyal | Psychiatry & Neurology | 1100 Culver Road, Essexville, MI 48732 | 2008-07-08 |
1508060310 | Michelle L Scharnott | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732 | 2007-06-14 |
1437376902 | Care and Delivery Services Inc. | Home Health | 1215 N. Pine Rd, Essexville, MI 48732 | 2007-04-19 |
1255456265 | Bobby Joe Jones | Dentist | 1480 W Center, Suite 7, Essexville, MI 48732 | 2007-03-20 |
1780722785 | Mclaren Bay Region | Internal Medicine | 1480 W Center Rd Ste 5, Essexville, MI 48732 | 2007-02-02 |
1841363439 | Marianne M Vandenboom | Counselor | 1332 Prospect Avenue, Tuscola Behavioral Health, Caro, MI 48732 | 2006-11-15 |
Find all providers in zip 48732 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145270 | Nicholas Lee Berkobien | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2020-05-12 |
1760018329 | Breana Wiesenauer | Counselor | 863 N Pine Rd, Essexville, MI 48732-2159 | 2020-03-16 |
1881235513 | Marnie Jo Westphal | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2019-10-03 |
1689137903 | Kimberly Kay Daniels | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2019-04-12 |
1477023653 | Kayle Amber Wisniewski | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-11-29 |
1164999769 | Trishia Pauline Watson | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-11-01 |
1528540572 | Gerred Douglas Pease | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-09-05 |
1508357195 | Amanda Rae Harris | Counselor | 863 N Pine Rd, Suite A, Essexville, MI 48732 | 2018-05-20 |
1710476940 | Kailey Christin Clinesmith | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-05-03 |
1124529821 | Richard Preston Hill | Counselor | 863 N Pine Rd Ste A, Essexville, MI 48732-2159 | 2018-02-27 |
Find all providers in ESSEXVILLE |
City | ESSEXVILLE |
Zip Code | 48732 |
Please comment or provide details below to improve the information on AUTUMN JEWEL AYALA.
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.