KURT BANNERT (NPI# 1619414364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619414364 |
| Entity Type | Individual |
| Full Name | KURT BANNERT |
| Credential | LPC |
| Practice Address |
701 E Marshall Ave Suite #310 Longview TX 75601-5659 |
| Practice Telephone | 9034312599 |
| Mailing Telephone | 9034312599 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
74055 | TX | Behavioral Health & Social Service Providers |
| Street Address |
701 E MARSHALL AVE SUITE #310 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635409 | Oscar Jack Chastain IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 701 E Marshall Ave, Suite 504, Longview, TX 75601-5659 | 2005-08-10 |
| 1316396682 | Carissa Brooke Gunathilaka | Counselor | 701 E Marshall Ave, Suite 310, Longview, TX 75601-5659 | 2016-06-08 |
| 1235598806 | Sabine Valley Regional Mhmr Center | Clinic/Center | 701 E Marshall Ave, Suite 310, Longview, TX 75601-5659 | 2016-02-11 |
| 1548632516 | Thomas Bell | Nurse Practitioner | 701 E Marshall Ave, Suite 504, Longview, TX 75601-5659 | 2015-10-29 |
| 1225332562 | Gsps Gastroenterology Pllc | Internal Medicine | 701 E Marshall Ave, Suite 200, Longview, TX 75601-5659 | 2010-12-30 |
| 1427362300 | Leigh Ann Mahjoobi | Nurse Practitioner | 701 E Marshall Ave, Suite 400, Longview, TX 75601-5659 | 2010-08-03 |
| 1578899845 | Anna Maria Taylor | Nurse Practitioner | 701 E Marshall Ave, Suite 200, Longview, TX 75601-5659 | 2009-10-21 |
| 1871778316 | Narasimha Sastry Jatavallabhula | Neuromusculoskeletal Medicine & OMM | 701 E Marshall Ave, Suite 400, Longview, TX 75601-5659 | 2008-01-03 |
| 1538270202 | Longview Thoracic & Cardiovascular Associates Pllc | Surgery | 701 E Marshall Ave, Ste 504, Longview, TX 75601-5573 | 2006-08-31 |
| 1316969306 | Tiffany Smith | Physician Assistant | 701 E Marshall Ave, Suite 400, Longview, TX 75601-5659 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104323 | Justin Robinson | Counselor | 1127 Judson Rd Ste 130, Longview, TX 75601-5153 | 2020-08-10 |
| 1245864537 | Megan Nora Korthals | Counselor | 1125 Judson Rd Ste 150, Longview, TX 75601-5120 | 2020-02-26 |
| 1295370369 | Donald Fenton | Counselor | 2105 E Loop 281, Longview, TX 75605-8401 | 2019-11-13 |
| 1609338425 | Jodi Anna Spencer | Counselor | 1011 W Loop 281 Ste 2, Longview, TX 75604-2932 | 2019-04-01 |
| 1932677150 | Jamie G. Vanbiber | Counselor | 3032 N Eastman Rd Ste 215, Longview, TX 75605-5019 | 2018-11-06 |
| 1881184182 | Grace Henderson | Counselor | 701 E Marshall Ave Ste 310, Longview, TX 75601-5544 | 2018-05-14 |
| 1801384904 | Cynthia Denise Berry Lowery | Counselor | 414 N Green St, Longview, TX 75601-6409 | 2018-04-25 |
| 1891037784 | Corey L. Gibson | Counselor | 1705 Judson Rd Ste 103-a, Longview, TX 75601-2938 | 2013-03-19 |
| 1467754291 | Ashley Joy Mcmahen | Counselor | 4656 Page Rd, Longview, TX 75605-6228 | 2010-11-30 |
| 1700046497 | Kerry Carl Hagan | Counselor | 441 N Fredonia St, Longview, TX 75601-6427 | 2008-06-16 |
| Find all providers in LONGVIEW | ||||
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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.