JUSTIN MCCAMMON (NPI# 1710346945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710346945 |
Entity Type | Individual |
Full Name | JUSTIN MCCAMMON |
Practice Address |
960 M 60 E Cassopolis MI 49031-9339 |
Practice Telephone | 2694452451 |
Practice Fax Number | 2694453216 |
Mailing Telephone | 2694452451 |
Mailing Fax Number | 2694453216 |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-16 |
Gender Code | M |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | WOODLANDS BEHAVIORAL HEALTHCARE NETWORK | 1659375293 | 01 |
Street Address |
960 M 60 E |
City | CASSOPOLIS |
State | MI |
Zip Code | 49031-9339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730217308 | Patrick M Loughlin | Social Worker | 960 M 60 E, Cassopolis, MI 49031-9339 | 2007-03-02 |
1659906535 | Lara Leite Taylor | Registered Nurse | 960 M 60 E, Cassopolis, MI 49031-9339 | 2020-03-11 |
1669003406 | Sybil Elyse Schultz | Psychologist | 960 M 60 E, Cassopolis, MI 49031-9339 | 2020-01-30 |
1073151692 | Sheila Meese | Counselor | 960 M 60 E, Cassopolis, MI 49031-9339 | 2019-12-13 |
1245797257 | Crystal Lafler | Counselor | 960 M 60 E, Cassopolis, MI 49031-9339 | 2019-02-26 |
1902383268 | Michele White | Social Worker | 960 M 60 E, Cassopolis, MI 49031-9339 | 2018-07-19 |
1891288692 | Darcie Ball | Social Worker | 960 M 60 E, Cassopolis, MI 49031-9339 | 2018-06-07 |
1841782893 | Krista Deboer | Social Worker | 960 M 60 E, Cassopolis, MI 49031-9339 | 2018-06-05 |
1033624275 | Jamie Elizabeth Ailes | Social Worker | 960 M 60 E, Cassopolis, MI 49031-9339 | 2017-12-11 |
1124530688 | Shaeles Marie Mckinnon | Social Worker | 960 M 60 E, Cassopolis, MI 49031-9339 | 2017-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891241196 | Mike Hewlett | Dentist | 261 M-62, Cassopolis, MI 49031 | 2016-08-28 |
1093802902 | Van Buren/cass District Health Department | Public Health or Welfare | 201 M-62 North, Cassopolis, MI 49031 | 2006-10-10 |
1992804637 | Jennifer Lee Deer | Social Worker | 960 State St, Cassopolis, MI 49031 | 2006-09-21 |
1174639728 | Lewis Cass Intermediate School District | Local Education Agency (LEA) | 61682 Dailey Road, Cassopolis, MI 49031 | 2006-08-23 |
1841293230 | Kathy Joy Emans | Social Worker | 960 E. State, Cassopolis, MI 49031 | 2005-05-31 |
1861981268 | Leslie Lakeman | Physical Therapist | 23770 Hospital St, Cassopolis, MI 49031 | 2018-05-02 |
1922554633 | Maureen Raj | Counselor | 261 M-62, Cassopolis, MI 49031 | 2016-09-01 |
1326047002 | John H. Foster | Family Medicine | 109 School St, Cassopolis, MI 49031-1023 | 2005-07-15 |
1639594054 | Crystal Dawn Payton | Nurse Practitioner | 109 School St, Cassopolis, MI 49031-1023 | 2014-02-21 |
1336358159 | Van Buren Cass District Public Health Department | Public Health or Welfare | 201 M 62, Cassopolis, MI 49031-1034 | 2007-05-21 |
Find all providers in zip 49031 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912396516 | Peter John Koshar Jr. | Counselor | 1122 Austin, Cassopolis, MI 49031-8310 | 2015-01-20 |
1699018481 | Carla Lowe | Counselor | 1124 Austin, Cassopolis, MI 49031-8310 | 2013-04-01 |
1023330875 | Ronald Poole | Counselor | 960 E M 60, Cassopolis, MI 49031-9339 | 2010-02-22 |
1073151692 | Sheila Meese | Counselor | 960 M 60 E, Cassopolis, MI 49031-9339 | 2019-12-13 |
1922554633 | Maureen Raj | Counselor | 261 M-62, Cassopolis, MI 49031 | 2016-09-01 |
1386016376 | Megan Cloud | Counselor | 960 M 60 E, Cassopolis, MI 49031-9339 | 2015-10-29 |
1487920112 | Cass Co Community Mental Health | Counselor | 960 E State St, Cassopolis, MI 49031-9339 | 2012-03-27 |
1932304581 | Lori Lutz | Counselor | 960 E State St, Cassopolis, MI 49031-9339 | 2007-06-15 |
1275738825 | Tom M Pabreza | Counselor | 960 E State St, Cassopolis, MI 49031-9339 | 2007-06-15 |
1922203587 | Sally J Scafaria | Counselor | 960 E State St, Cassopolis, MI 49031-9339 | 2007-06-15 |
Find all providers in CASSOPOLIS |
City | CASSOPOLIS |
Zip Code | 49031 |
Please comment or provide details below to improve the information on JUSTIN MCCAMMON.
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.