MRS. PATRICIA ANN GUNDRUM (NPI# 1497999650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497999650 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN GUNDRUM |
| Other Name | MRS. PATRICIA ANN GUNDRUM |
| Credential | MSW,LMSW |
| Practice Address |
3493 Woods Edge Suite 103 Okemos MI 48864-5911 |
| Mailing Address |
Po Box 43 Mason MI 48854-0043 |
| Practice Telephone | 5178863707 |
| Practice Fax Number | 5173491973 |
| Mailing Telephone | 5176236260 |
| Mailing Fax Number | 5176236460 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2011-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6801073024 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 800313060 | 01 |
| Street Address |
3493 WOODS EDGE SUITE 103 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699782375 | John L Kroneman | Social Worker | 3493 Woods Edge, Suite 103, Okemos, MI 48864-5911 | 2006-08-02 |
| 1659720134 | Rebecca Kaye Decess | Social Worker | 3493 Woods Edge, 103, Okemos, MI 48864-5911 | 2016-06-06 |
| 1831571710 | Nadine Valerie Allen | Social Worker | 3493 Woods Edge, Ste 103, Okemos, MI 48864-5911 | 2015-06-26 |
| 1659708006 | Karen Mcgaugh Hogan | Social Worker | 3493 Woods Edge, Suite 103, Okemos, MI 48864-5911 | 2013-10-01 |
| 1831401470 | Karen Grace Patrick | Counselor | 3493 Woods Edge, Suite 103, Okemos, MI 48864-5911 | 2010-07-12 |
| 1982845418 | Michelle Ann Renaud | Social Worker | 3493 Woods Edge, Suite 103, Okemos, MI 48864-5911 | 2009-03-12 |
| 1982752176 | Laura Walter Forstat | Social Worker | 3493 Woods Edge, Okemos, MI 48864-5911 | 2007-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083245930 | Shiela Laverne Owens | Counselor | 2137 Fox Hollow Dr, Okemos, MI 48864-3922 | 2020-01-29 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1477061281 | Roxane Minkus | Counselor | 2109 Hamilton Rd Ste 201, Okemos, MI 48864-1700 | 2018-01-15 |
| 1376993014 | John Cantu | Counselor | 4299 Aztec Way, Okemos, MI 48864-5209 | 2016-06-14 |
| 1124486642 | Support Network Counseling LLC | Counselor | 4131 Okemos Rd Ste 10, Okemos, MI 48864-2823 | 2016-01-29 |
| 1598121824 | Helen A Turkovich | Counselor | 4660 Marsh Rd Ste 23, Okemos, MI 48864-2143 | 2015-12-31 |
| 1609244979 | Erin Gajda | Counselor | 2167 Commons Pkwy, Okemos, MI 48864-3987 | 2015-09-03 |
| 1639597784 | Steven Adam Ward | Counselor | 4376 Okemos Rd Apt C210, Okemos, MI 48864-2537 | 2014-04-04 |
| 1336377225 | Marci Rene-nelson Cyphers | Counselor | 4295 Okemos Rd Ste 135, Okemos, MI 48864-6201 | 2009-06-30 |
| 1376739987 | Jennifer A Hogan | Counselor | 2422 Jolly Rd Ste 300, Okemos, MI 48864-3686 | 2007-09-18 |
| Find all providers in OKEMOS | ||||
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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.