NICOLE POMINVILLE (NPI# 1518437433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518437433 |
| Entity Type | Individual |
| Full Name | NICOLE POMINVILLE |
| Other Name | NICOLE DERYDER |
| Credential | LLPC |
| Practice Address |
1608 Lake St Kalamazoo MI 49001-3170 |
| Practice Telephone | 2693440202 |
| Practice Fax Number | 2693440285 |
| Mailing Telephone | 2693440202 |
| Mailing Fax Number | 2693440285 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401016281 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1608 LAKE ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881650059 | Margie R. Cigoy | Psychologist | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2006-04-25 |
| 1255942306 | Shana Stout | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2020-08-12 |
| 1316589575 | Esther Garcia | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-10-09 |
| 1376109603 | Jasmin Chrzan | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-05-13 |
| 1376108829 | David S Gamble | Counselor | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-05-09 |
| 1184180804 | Justin Hutchison | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2019-02-19 |
| 1588148928 | Anna Luna Birdsall | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2018-09-21 |
| 1750809315 | Jennifer Lindsay | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2017-09-05 |
| 1457876708 | Kathleen Ann Pyatt | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2017-08-08 |
| 1396269122 | Alison Marie Ciesa | Social Worker | 1608 Lake St, Kalamazoo, MI 49001 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970069 | Jennelle Hines Counseling, Pllc | Counselor | 2511 Lomond Dr, Kalamazoo, MI 49008-2125 | 2020-10-19 |
| 1275151144 | Kalamazoo Cognitive and Behavioral Therapy Pllc | Counselor | 3516 Northfield Trl, Kalamazoo, MI 49009-5899 | 2020-07-08 |
| 1386273225 | Casey Slager | Counselor | 120 Lanark Ct, Kalamazoo, MI 49006-4357 | 2020-04-03 |
| 1104452002 | Susan G Mattice | Counselor | 1030 Campbell Ave, Kalamazoo, MI 49006-3082 | 2020-03-23 |
| 1336774421 | Deanna Thompson | Counselor | 124 Remine St, Kalamazoo, MI 49001-3640 | 2020-03-09 |
| 1073148185 | Cierra L Patrick | Counselor | 4210 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2020-03-09 |
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1295391829 | Stephanie Hyer | Counselor | 2338 S Rose St, Kalamazoo, MI 49001-3621 | 2019-05-20 |
| 1598264277 | Lance Brandon Bettison | Counselor | 157 S Kalamazoo Mall Ste 250, Kalamazoo, MI 49007-4828 | 2018-02-07 |
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| Find all providers in KALAMAZOO | ||||
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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.