DISABILITY NETWORK/ LAKESHORE (NPI# 1710350228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710350228 |
| Entity Type | Organization |
| Organization Name | DISABILITY NETWORK/ LAKESHORE |
| Practice Address |
426 Century Ln Holland MI 49423-2200 |
| Practice Telephone | 6163965326 |
| Mailing Telephone | 6163965326 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | MR. TODD WHITEMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6163965326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6801095023 | MI | Agencies |
| Street Address |
426 CENTURY LN |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265805782 | Mark Leeson | Social Worker | 426 Century Ln, Holland, MI 49423-2200 | 2015-11-05 |
| 1548790181 | Carli Luce | Social Worker | 426 Century Ln, Holland, MI 49423-2200 | 2017-06-15 |
| 1679946107 | Carrie Benchich | Counselor | 426 Century Ln, Holland, MI 49423-2200 | 2015-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1427565779 | Kecia Gay | Community/Behavioral Health | 7015 Spring Mdws W, Holland, OH 43528-9299 | 2018-01-09 |
| 1659888568 | Sharonda Perkins | Community/Behavioral Health | 7015 Spring Mdws W Ste 102, Holland, OH 43528-9299 | 2018-01-02 |
| 1104336296 | Newness of Life Counseling LLC | Community/Behavioral Health | 7445 Airport Hwy Ste E, Holland, OH 43528-9544 | 2017-10-03 |
| 1992226807 | A Step Beyond | Community/Behavioral Health | 5726 Southwyck Blvd, Holland, OH 43614 | 2017-06-30 |
| 1609245893 | Susan Moore | Community/Behavioral Health | 14 Heather Valley Rd, Holland, PA 18966-2630 | 2015-09-18 |
| 1497053664 | Choices Behavioral Health Care | Community/Behavioral Health | 350 N Irwin Rd, Holland, OH 43528-8964 | 2011-03-11 |
| 1952620106 | County of Ottawa | Community/Behavioral Health | 12263 James St, Holland, MI 49424-8613 | 2010-05-27 |
| 1114165438 | Midtown Counseling Services | Community/Behavioral Health | 96 W 15th St Ste 208-9, Holland, MI 49423-3370 | 2009-01-23 |
| 1104488949 | Charis | Community/Behavioral Health | 186 S River Ave Ste 5, Holland, MI 49423-2848 | 2019-07-02 |
| Find all providers in HOLLAND | ||||
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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.