TERESA LYNN PFENNINGER (NPI# 1730515685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730515685 |
| Entity Type | Individual |
| Full Name | TERESA LYNN PFENNINGER |
| Credential | LLPC |
| Practice Address |
2702 Flushing Rd Flint MI 48504-4534 |
| Mailing Address |
585 Jewett Rd Mason MI 48854-8729 |
| Practice Telephone | 8104245998 |
| Practice Fax Number | 8104246347 |
| Mailing Telephone | 5176765405 |
| Mailing Fax Number | 5176765460 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401013886 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2702 FLUSHING RD |
| City | FLINT |
| State | MI |
| Zip Code | 48504-4534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205025384 | Stephanie A Martin | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2007-10-15 |
| 1811374465 | Antanique Buckley | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2015-05-04 |
| 1245662873 | Donna Lynn Fair | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2013-08-06 |
| 1356773980 | Catherine Nadine Anderson | Counselor | 2702 Flushing Rd, Flint, MI 48504-4534 | 2013-08-06 |
| 1386085751 | Emily Kate Kozan | Counselor | 2702 Flushing Rd, Flint, MI 48504-4534 | 2013-07-12 |
| 1013356385 | Kimberly Ann Campbell | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2013-06-20 |
| 1629317151 | Twynette Michelle Mixon | Counselor | 2702 Flushing Rd, Flint, MI 48504-4534 | 2013-02-04 |
| 1205186723 | Brittney Westfall | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2012-09-12 |
| 1174885768 | Kayti Murray | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2012-06-11 |
| 1972869352 | Kandy Gean-dewitt | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| 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 |
|---|---|---|---|---|
| 1538768213 | The Made Institute | Counselor | 503 Garland St, Flint, MI 48503-2523 | 2020-10-22 |
| 1407462450 | The Root Causation LLC | Counselor | 2483 S Linden Rd Ste 50, Flint, MI 48532-5435 | 2020-09-16 |
| 1528610573 | Creative Counseling Consultants, LLC. | Counselor | 5343 Birchtree Ct, Flint, MI 48532-3301 | 2019-07-10 |
| 1699339945 | Jasmine Thomas | Counselor | 6807 Parkbelt Dr, Flint, MI 48505-1938 | 2019-04-23 |
| 1528525748 | Deantonie Price | Counselor | 4058 N Linden Rd Ste H, Flint, MI 48504-1381 | 2019-02-24 |
| 1235608662 | Annette Commons Walker | Counselor | 1941 Colchester Rd, Flint, MI 48503-4676 | 2018-11-14 |
| 1437555141 | Patrice Martin | Counselor | 824 W Alma Ave, Flint, MI 48505-1944 | 2014-11-06 |
| 1114363439 | Martha E Gerecke | Counselor | 1420 University, Flint, MI 48507-6208 | 2013-05-14 |
| 1356620686 | Shirley Luckado Mcreynolds | Counselor | Northbank Center 400 N. Saginaw St., Suite 208, Flint, MI 48502-2007 | 2011-08-04 |
| 1043442775 | Leslie Marie Crandell-ewing | Counselor | 5516 Torrey Rd, Flint, MI 48507-5955 | 2009-08-13 |
| Find all providers in FLINT | ||||
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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.