NICOLE TOYI MUSENJA (NPI# 1710181722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710181722 |
| Entity Type | Individual |
| Full Name | NICOLE TOYI MUSENJA |
| Credential | M.A. |
| Practice Address |
308 E 21st Ave Gary IN 46407-2618 |
| Practice Telephone | 2198861320 |
| Practice Fax Number | 2198861319 |
| Mailing Telephone | 2198861320 |
| Mailing Fax Number | 2198861319 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
308 E 21ST AVE |
| City | GARY |
| State | IN |
| Zip Code | 46407-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144353715 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-03-13 |
| 1376974246 | Willowglen Academy-in, Inc. | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2013-12-03 |
| 1023339587 | Tashena R Lollis | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-18 |
| 1194046698 | Bunnie J Fleming | Licensed Practical Nurse | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-18 |
| 1750602355 | Kecia Marie Blakely | Psychologist | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-17 |
| 1790006302 | Darlene Roseta Tolbert | Registered Nurse | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-17 |
| 1073834875 | Marilyn M. Caruthers | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-15 |
| 1073788113 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2008-04-29 |
| 1730384207 | Alexis Nelson | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-06-15 |
| 1598960064 | Terald Blakey | Counselor | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477802270 | Planned Parenthood of Indiana Gary | Clinic/Center | 1124 Broadway, Gary, IN 46407 | 2012-09-07 |
| 1891930913 | Angela Juanita Anderson | General Practice | 2353 Madison Street, Gary, IN 46407 | 2008-12-03 |
| 1548470537 | Rae Emerick | Speech-Language Pathologist | 2350 Taft Street, Gary, IN 46407 | 2007-05-22 |
| 1467577049 | Lavearn May | Registered Nurse | 308 E. 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1881719532 | Kenneth Hicks | Social Worker | 308 East 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1356476287 | Chube Medical Corporation | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2007-02-22 |
| 1346263217 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 700 E 21st Ave, Gary, IN 46407 | 2006-07-25 |
| 1477042505 | Ileana Green | Nurse Practitioner | 1400 Broadway, Gary, IN 46407 | 2018-05-03 |
| 1275734949 | Kenneth Edward Anderson | Speech-Language Pathologist | 2350 Taft St, Timberview Health Care Center, Gary, IN 46407 | 2007-05-30 |
| 1669555991 | David D Chube Sr. | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2006-10-23 |
| Find all providers in zip 46407 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035507 | Christopher Parker | Counselor | 855 Taft St, Gary, IN 46404-1255 | 2020-08-25 |
| 1023504198 | Austin Jerome Malone | Counselor | 4905 Melton Rd, Gary, IN 46403-2873 | 2018-07-02 |
| 1790274504 | Hidejah Rasheeda Walter | Counselor | 2710 W 7th Pl, Gary, IN 46404-1217 | 2018-05-07 |
| 1912418880 | Voyage LLC | Counselor | 2471 Noble St, Gary, IN 46404-3269 | 2017-10-18 |
| 1851814339 | Kemuel Sean Hawkins | Counselor | 7318 Hemlock Ave, Gary, IN 46403-2153 | 2017-07-17 |
| 1295273035 | Lisa Johnson | Counselor | 498 W 22nd Pl, Gary, IN 46407-3010 | 2017-01-31 |
| 1265833990 | Dwight Williams | Counselor | 1122 W 47th Ave, Gary, IN 46408-4408 | 2014-09-12 |
| 1508297417 | Linda Tolbert | Counselor | 101 N Montgomery St, Gary, IN 46403-3921 | 2013-12-02 |
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1366606592 | Tamara Rose Williams | Counselor | 1649 Broadway, Gary, IN 46407-2231 | 2008-07-16 |
| Find all providers in GARY | ||||
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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.