RANDAL DAME (NPI# 1609283613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609283613 |
| Entity Type | Individual |
| Full Name | RANDAL DAME |
| Practice Address |
1823 Commerce St Muskegon MI 49441-2608 |
| Practice Telephone | 2312202002 |
| Mailing Telephone | 2312202002 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| 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) |
1-04741 | MI | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
1823 COMMERCE ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912019662 | John Edward Vanlente | Social Worker | 1823 Commerce St, Muskegon, MI 49441-2608 | 2006-08-31 |
| 1669875779 | Kathy Varboncoeur | Specialist | 1823 Commerce St, Muskegon, MI 49441-2608 | 2014-10-02 |
| 1841693025 | Louis Eric Churchwell | Counselor | 1823 Commerce St, Muskegon, MI 49441-2608 | 2014-10-02 |
| 1770904658 | Wmt Inc. Recovery & Housing Center | Case Management | 1823 Commerce St, Muskegon, MI 49441-2608 | 2013-12-19 |
| 1245651405 | Wmt Inc. Recovery & Housing Center | Counselor | 1823 Commerce St, Muskegon, MI 49441-2608 | 2013-12-13 |
| 1851642367 | West Michigan Therapy Inc | Community/Behavioral Health | 1823 Commerce St, 2333 Jarman St, Muskegon, MI 49441 | 2012-09-24 |
| 1700137486 | Daniel Simon Stauffer IIi | Counselor | 1823 Commerce St, Muskegon, MI 49441-2608 | 2012-09-21 |
| 1609126036 | Ann Marie Dean | Counselor | 1823 Commerce St, Muskegon, MI 49441-2608 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356731509 | Shawndreka Shanay Payne | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2015-01-27 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1851640213 | Jill Stamison | Counselor | 125 E. Southern Avenue, Muskegon, MI 49442-0000 | 2012-08-31 |
| 1609094747 | Asher M Pimpleton | Counselor | 2410 Marquard Ave, Muskegon, MI 49445-3231 | 2007-04-23 |
| 1649218041 | Marion Oakes-hunter | Counselor | 1352 Terrace St, Muskegon, MI 49442-3545 | 2006-06-04 |
| 1124636931 | Norman Kittleson | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2020-07-17 |
| 1669011334 | Lisa Lamphiere | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2019-12-30 |
| 1457990400 | Andrew G Hicks | Counselor | 985 E Barney Ave, Muskegon, MI 49444-1708 | 2019-12-21 |
| 1134614696 | Arbor Circle Corporation | Counselor | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-06-27 |
| 1053863852 | Lauren C Thomas | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2016-10-27 |
| Find all providers in MUSKEGON | ||||
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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.