MICHAEL HOUSEHOLDER (NPI# 1588213854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588213854 |
| Entity Type | Individual |
| Full Name | MICHAEL HOUSEHOLDER |
| Credential | LCDC |
| Practice Address |
2010 Al Lipscomb Way Dallas TX 75215-2773 |
| Practice Telephone | 4695164472 |
| Mailing Telephone | 4695164472 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12987 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 399885801 | 05 |
| Street Address |
2010 AL LIPSCOMB WAY |
| City | DALLAS |
| State | TX |
| Zip Code | 75215-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538514294 | The Men of Nehemiah Inc. | Substance Abuse Rehabilitation Facility | 2010 Al Lipscomb Way, Dallas, TX 75215-2773 | 2016-05-02 |
| 1053953034 | Jerry Edward Hoover | Counselor | 2010 Al Lipscomb Way, Dallas, TX 75215-2773 | 2019-10-11 |
| 1285284661 | Lynn Rodgers | Counselor | 2010 Al Lipscomb Way, Dallas, TX 75215-2773 | 2019-09-17 |
| 1144879412 | John Franklin Miller Iv | Counselor | 2010 Al Lipscomb Way, Dallas, TX 75215-2773 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
| 1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
| 1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
| 1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
| 1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
| 1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
| 1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
| 1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
| 1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
| 1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
| Find all providers in zip 75215 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564683 | Solutions Mental Health, Pllc | Counselor | 13500 Midway Rd Ste 400, Dallas, TX 75244-5155 | 2020-09-30 |
| 1588284848 | Prime Counseling | Counselor | 13140 Coit Rd Ste 215, Dallas, TX 75240-5786 | 2020-04-16 |
| 1174157093 | Stephanie Grogan | Counselor | 12800 Hillcrest Rd Ste A103, Dallas, TX 75230-1524 | 2020-02-29 |
| 1982236014 | Shannon Christine O'connor | Counselor | 3838 Rawlins St Apt 313, Dallas, TX 75219-4250 | 2020-02-06 |
| 1215576574 | Mary Kemp Tabor | Counselor | 14114 Dallas Pkwy Ste 245, Dallas, TX 75254-1331 | 2020-01-03 |
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1679116909 | Origins Counseling LLC | Counselor | 12810 Hillcrest Rd Ste B223, Dallas, TX 75230-1525 | 2019-10-18 |
| 1225679665 | Katherine Foutz | Counselor | 6301 Gaston Ave Ste 730, Dallas, TX 75214-6296 | 2019-10-07 |
| 1831730910 | Christopher Paul Logan | Counselor | 10588 Stone Canyon Rd Apt 309, Dallas, TX 75230-4419 | 2019-09-30 |
| Find all providers in DALLAS | ||||
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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.