MR. BRENTON PLACE (NPI# 1679844237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679844237 |
| Entity Type | Individual |
| Full Name | MR. BRENTON PLACE |
| Credential | M.A., L.L.P.C. |
| Practice Address |
114 Orchard Lake Rd Pontiac MI 48341-2244 |
| Practice Telephone | 2488587766 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401012507 | MI | Behavioral Health & Social Service Providers |
| Street Address |
114 ORCHARD LAKE RD |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609892405 | Gary Michael Swarga | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2006-07-14 |
| 1992323281 | Jack Rodriguez | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2020-07-13 |
| 1316400914 | Colette Kaitlyn Colzim | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2019-04-10 |
| 1225508450 | Ashley Kristine Polinski | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-11-30 |
| 1902387871 | Lyndsey Kondor | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-08-28 |
| 1588150767 | Danielle Klank | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-07-10 |
| 1346733128 | Zoe Maura Compton | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2018-06-07 |
| 1114430675 | Melanie Ann Watson | Case Manager/Care Coordinator | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2017-11-07 |
| 1356869101 | Jamie Louis Otter | Student in an Organized Health Care Education/Training Program | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2017-08-31 |
| 1851827448 | Rachel Ellen Young | Social Worker | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689868 | Karen Bennett | Counselor | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 | 2017-03-02 |
| 1518574938 | Sydni Lee Neal | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1558978965 | Kimberly Ezzo | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1972150456 | Allison Hart | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-08-20 |
| 1144783762 | Alyssa Ross | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1174086797 | Jaycee Leonard | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1164920013 | Rosa Quellhorst | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2018-01-25 |
| 1275935280 | Kristen Phillips | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2014-09-22 |
| 1205262920 | Angela Villet | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2013-09-26 |
| 1952744187 | Jessica Stone | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2013-04-08 |
| Find all providers in PONTIAC | ||||
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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.