MRS. SHANNON RENEE FELL (NPI# 1588801849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588801849 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON RENEE FELL |
| Credential | CAC-M |
| Practice Address |
3650 Dixie Hwy Waterford MI 48329-4290 |
| Practice Telephone | 2486744630 |
| Practice Fax Number | 2486747157 |
| Mailing Telephone | 2486744630 |
| Mailing Fax Number | 2486747157 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
104703 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3650 DIXIE HWY |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811906415 | Susan Lee Saltzman | Nurse Practitioner | 3650 Dixie Hwy, Waterford, MI 48329-4290 | 2006-08-05 |
| 1942844451 | Thomas George Grubba Jr. | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2019-10-29 |
| 1972151827 | Tara Elizabeth Barr | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2019-09-03 |
| 1922507441 | Jamie Phillips | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-2638 | 2018-02-10 |
| 1457874281 | Jill Amico | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2017-07-24 |
| 1538607502 | Nancy Woehlke | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2017-02-09 |
| 1518238385 | Kathleen Marie Cavanaugh | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4290 | 2012-01-25 |
| 1588979876 | Genuine Solutions Counseling Center, Pllc | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2010-08-11 |
| 1538229877 | Perfect Solutions Inc | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4290 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217364 | Gabrielle Carr Lpc | Counselor | 210 S. High St., Waterford, PA 16441-8312 | 2020-02-21 |
| 1386111631 | Jill Hudak | Counselor | 4000 W Walton Blvd Ste A-b, Waterford, MI 48329-4191 | 2018-10-25 |
| 1548648165 | Loubna Alkhayat | Counselor | 4000 Highland Rd Ste 110, Waterford, MI 48328-2163 | 2015-05-14 |
| 1558756486 | Michele Morelli | Counselor | 3520 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2015-03-28 |
| 1821427030 | Christina Norton | Counselor | 1089 Princeton Dr, Waterford, MI 48327-4087 | 2013-11-07 |
| 1548609837 | Sara Lori Platz | Counselor | 2685 Woodbine Dr, Waterford, MI 48328-3955 | 2013-06-19 |
| 1245576537 | Joyce Morgan Elias | Counselor | 83 Boston Post Rd, Waterford, CT 06385-2423 | 2012-12-14 |
| 1619106168 | Anne Marie Hull | Counselor | 249 E 3rd St, Waterford, PA 16441-9753 | 2009-07-06 |
| 1720243710 | Aditi H Gohil | Counselor | 567 Vauxhall Street Ext Ste 303, Waterford, CT 06385-4341 | 2008-07-19 |
| 1164439626 | James Earl Sutton | Counselor | 1724 Airport Rd, Waterford, MI 48327-1390 | 2006-08-01 |
| Find all providers in WATERFORD | ||||
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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.