TYENA WHITLEY (NPI# 1730430448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730430448 |
| Entity Type | Individual |
| Full Name | TYENA WHITLEY |
| Credential | LCSW, CADC |
| Practice Address |
15 Mulberry St Springfield MA 01105-1433 |
| Mailing Address |
15 Mulberry Street Springfield MA 01105 |
| Practice Telephone | 4137332178 |
| Mailing Telephone | 4137332178 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2014-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
447F | MA | Behavioral Health & Social Service Providers |
| Street Address |
15 MULBERRY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730389719 | Karin G. Lapointe | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2007-07-19 |
| 1285005835 | Carolyn Cotter | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2015-10-08 |
| 1467857888 | Pamela Boone | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2014-10-28 |
| 1184059271 | Wanda Renee' Ladson | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2013-09-07 |
| 1356680946 | Andrew Lawlor | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2013-02-03 |
| 1083963409 | Ryan Roulston | Social Worker | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-08-30 |
| 1568726305 | Catherine L Vaughan | Social Worker | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-06-26 |
| 1942563887 | Amanda Mercado | Marriage & Family Therapist | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-06-15 |
| 1780957472 | Katie Czupkiewicz | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-02-11 |
| 1154692283 | Stephanie Donovan | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1205443462 | India Iasia Kyles | Counselor | 82 Tilton St, Springfield, MA 01109-2332 | 2020-09-30 |
| 1437765161 | Sarissa Joy Adams | Counselor | 1915 E Nottingham St, Springfield, MO 65804-7733 | 2020-09-18 |
| 1568098952 | Jennifer Corsi | Counselor | 130 Maple St Ste 201, Springfield, MA 01103-2214 | 2020-03-17 |
| 1245865500 | Annette Lynn Brandenburg | Counselor | 1736 E Sunshine St Ste 811, Springfield, MO 65804-1334 | 2020-03-06 |
| 1962045443 | Emilie Noel Phillips | Counselor | 3826 E Lomita St, Springfield, MO 65809-3710 | 2019-10-28 |
| 1265082234 | Sierra Jane Forney | Counselor | 98 Garnet St, Springfield, MA 01129-1908 | 2019-09-12 |
| 1700438678 | Julie Ann Blythe | Counselor | 620 N Walnut St, Springfield, IL 62702-4930 | 2019-07-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
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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.