MS. GINA MICHELLE SEWELL (NPI# 1568970515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568970515 |
| Entity Type | Individual |
| Full Name | MS. GINA MICHELLE SEWELL |
| Credential | LPC, NCC |
| Practice Address |
2176 E Franklin Rd Ste 100 Meridian ID 83642-8009 |
| Practice Telephone | 2085157661 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-6755 | ID | Behavioral Health & Social Service Providers |
| Street Address |
2176 E FRANKLIN RD STE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-8009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285767913 | Heather Sue Tustison | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2007-03-13 |
| 1366058364 | Melissa M Cory Counseling LLC | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2020-09-16 |
| 1821603911 | Melissa Cory | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2020-09-15 |
| 1760008981 | Jennifer Marie De Prima | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2020-06-23 |
| 1043873144 | Janice Edwards | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2019-04-15 |
| 1881157766 | Meghan J Brewer | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2019-04-09 |
| 1861966574 | Treasure Wellness, Pllc | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2019-01-15 |
| 1104305515 | Lisa M Brokaw | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2018-08-08 |
| 1346652401 | Robert Mcintyre | Counselor | 2176 E Franklin Rd Ste 100, Meridian, ID 83642-8009 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1972145308 | Sarah Barnes | Counselor | 2068 S Eagle Rd, Meridian, ID 83642-6707 | 2019-10-17 |
| 1033688007 | Garrett Kroon | Counselor | 3061 S Meridian Rd Ste 100, Meridian, ID 83642-7962 | 2018-11-19 |
| 1841778131 | Rikki Victoria Clemens Jensen | Counselor | 1985 N Monaco Way, Meridian, ID 83646-1302 | 2018-07-30 |
| 1477062248 | Kristen K French | Counselor | 1887 E Summerridge Dr, Meridian, ID 83646-5587 | 2017-09-25 |
| 1821462672 | Kimberly Beck | Counselor | 39 W. Pine Ave, Meridian, ID 83642 | 2015-11-17 |
| 1598188286 | Dwyla Wilson | Counselor | 5842 Mohawk Rd, Meridian, MS 39305-1367 | 2014-01-30 |
| 1467884627 | Jennifer L Smith | Counselor | 1865 N Lakes Pl, Meridian, ID 83646-1921 | 2013-07-30 |
| 1932407319 | Michele Anne Roeder | Counselor | 39 East State Avenue, Meridian, ID 83642 | 2011-03-08 |
| 1205142106 | Sandra Denice Clark | Counselor | 5701 N Hills St, Meridian, MS 39307-2903 | 2010-08-30 |
| Find all providers in MERIDIAN | ||||
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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.