JASON POBLACION (NPI# 1619498235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619498235 |
| Entity Type | Individual |
| Full Name | JASON POBLACION |
| Practice Address |
1370 N Oakland Blvd Ste 105 Waterford MI 48327-1572 |
| Practice Telephone | (248) 666-8870 |
| Mailing Telephone | 2486668870 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401016154 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1370 N OAKLAND BLVD STE 105 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286046 | Kathryn Joanne Brown | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2016-03-04 |
| 1740814110 | Varsha George | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2020-02-25 |
| 1538724513 | Daniel Thomas Colfer | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2019-05-06 |
| 1275018319 | Mirissa Lynne Gagnier | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2018-09-25 |
| 1336657949 | Amanda Condic | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2018-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718939 | Kathleen Marie Dallas | Counselor | 301 S Williams Lake Rd, Waterford, MI 48327-3678 | 2020-07-24 |
| 1184263220 | Margaret Mary Harris | Counselor | 45 Pepperbox Rd, Waterford, CT 06385-3511 | 2020-01-06 |
| 1033698584 | Sheryl L Schumacher | Counselor | 811 Scott Lake Rd, Waterford, MI 48328-2547 | 2018-08-07 |
| 1740773381 | Life Pathways Counseling and Coaching, LLC | Counselor | 4345 Meigs Ave Ste 109, Waterford, MI 48329-1877 | 2018-06-08 |
| 1386149953 | Maricruz Avitia | Counselor | 5096 Harbor Oark Dr., Waterford, MI 48329-1726 | 2018-03-27 |
| 1235657719 | Marissa Elizabeth Mccarthy | Counselor | 38 Norman St, Waterford, CT 06385-2316 | 2017-09-05 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1245774538 | Lajoy Harris | Counselor | 3525 Elizabeth Lake Rd Ste A, Waterford, MI 48328-3087 | 2016-12-06 |
| 1821469560 | Deborah Hockin | Counselor | 6695 Highland Rd, Suite 104a, Waterford, MI 48327-1651 | 2015-10-07 |
| 1023446820 | Barbara Robertson | Counselor | 3201 Howe Ct, Waterford, MI 48329-2785 | 2013-10-15 |
| 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.