MISS SHELLEY M BRANDOW (NPI# 1609187855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609187855 |
| Entity Type | Individual |
| Full Name | MISS SHELLEY M BRANDOW |
| Other Name | SHELLEY MB WIEGAND |
| Credential | LPC |
| Practice Address |
1029 N 3rd St Suite B Marquette MI 49855-3509 |
| Practice Telephone | 9062267410 |
| Mailing Telephone | 9062267410 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401006918 | MI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 6802080124 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1029 N 3RD ST SUITE B |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609040948 | Richard Allen Kochis | Social Worker | 1029 N 3rd St, Suite B, Marquette, MI 49855-3509 | 2008-04-17 |
| 1477923175 | Jennifer Gorton | Counselor | 1029 N 3rd St, Marquette, MI 49855-3509 | 2015-10-07 |
| 1043440175 | Lss Marquette Clinic | Marriage & Family Therapist | 1029 N 3rd St, Marquette, MI 49855-3509 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356358 | Nathan D Michels | Counselor | 1209 N 3rd St, Marquette, MI 49855-3009 | 2020-08-13 |
| 1497290845 | Emily Albro | Counselor | 706 Chippewa Sq, Suite 205, Marquette, MI 49855-4834 | 2016-12-21 |
| 1124485750 | Mary Mccarthy | Counselor | 706 Chippewa Sq, Suite 200, Marquette, MI 49855-4834 | 2016-01-27 |
| 1942604418 | Superior Paradigm Solutions | Counselor | 104 E Washington St, Marquette, MI 49855-4318 | 2014-10-13 |
| 1598176950 | Tami Leblanc | Counselor | 200 W Spring St, Marquette, MI 49855-4661 | 2014-05-19 |
| 1457590911 | Mercedes Marie Combs | Counselor | 1000 Silver Creek Rd, Marquette, MI 49855-8948 | 2009-02-06 |
| 1134364284 | Pamela Marie Kimble | Counselor | 200 W Spring St, Marquette, MI 49855-4630 | 2008-12-03 |
| 1922253145 | Jennifer Cain Cihak | Counselor | 200 W Spring St, Marquette, MI 49855-4630 | 2008-12-02 |
| 1073772091 | Erin Lee Cretens | Counselor | 1000 Silver Creek Rd, Marquette, MI 49855-8948 | 2008-06-05 |
| 1740290626 | Lucy Wilcox | Counselor | 200 W Spring St, Marquette, MI 49855-4630 | 2006-08-09 |
| Find all providers in MARQUETTE | ||||
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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.