ANNIE EHLERT BASTIAN (NPI# 1558875963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558875963 |
| Entity Type | Individual |
| Full Name | ANNIE EHLERT BASTIAN |
| Practice Address |
3 Blackburn Center Gloucester MA 01970 |
| Mailing Address |
110 Boston St Salem MA 01970-1402 |
| Practice Telephone | 9782837198 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3 BLACKBURN CENTER |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063709806 | Tegan Mallary Polhamus | Social Worker | 3 Blackburn Center, Gloucester, MA 01930 | 2011-06-30 |
| 1558879130 | William Barton Deckert | Counselor | 3 Blackburn Center, Gloucester, MA 01930 | 2018-01-17 |
| 1962915512 | Zureyma Thompson | Counselor | 3 Blackburn Center, Gloucester, MA 01930 | 2017-11-06 |
| 1851795512 | Zachary Stephenson | Counselor | 3 Blackburn Center, Gloucester, MA 01930 | 2014-10-09 |
| 1780928622 | Mary C Chao | Counselor | 3 Blackburn Center, Gloucester, MA 01930 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| 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 |
|---|---|---|---|---|
| 1568005163 | Cristisha Guadapule Mercado Liriano | Counselor | 25 Granite St Apt 1, Gloucester, MA 01930-3455 | 2019-10-26 |
| 1467918284 | Joseph Patrick Nadler | Counselor | 3 Blackburn Ctr Fl 2, Gloucester, MA 01930-2268 | 2019-02-17 |
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1558839563 | Suzanne M Degagne | Counselor | 150 E Main St Fl 1, Gloucester, MA 01930-3848 | 2018-11-07 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1508231382 | Jeremiah Sweet | Counselor | 25 Exchange St, Gloucester, MA 01930-3449 | 2015-12-05 |
| 1336511948 | Emily Interrante | Counselor | 9 Nally Ave, Gloucester, MA 01930-1662 | 2015-10-22 |
| Find all providers in GLOUCESTER | ||||
| City | GLOUCESTER |
| Zip Code | 01970 |
Please comment or provide details below to improve the information on ANNIE EHLERT BASTIAN.
| 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.