MS. SAMANTHA LYNN JENDZA (NPI# 1740729219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740729219 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA LYNN JENDZA |
| Practice Address |
4273 Corporate Dr Mount Pleasant MI 48858-5321 |
| Practice Telephone | 9899534385 |
| Mailing Telephone | 9899534385 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
4273 CORPORATE DR |
| City | MOUNT PLEASANT |
| State | MI |
| Zip Code | 48858-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144318866 | Terry Florian Nowak | Family Medicine | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2006-10-10 |
| 1336747476 | Todd Schuster | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2020-10-12 |
| 1083231013 | Kevin C Daum | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2020-06-25 |
| 1811460751 | Shelby Cristine Carson | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2019-01-03 |
| 1245776335 | Shelby Herb | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2017-01-12 |
| 1821530965 | Andrew Keeley | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2016-11-07 |
| 1144772344 | Misty Lynne Smith | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2016-11-04 |
| 1558813758 | Thomas Stock | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747476 | Todd Schuster | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2020-10-12 |
| 1528674330 | Alicia S Balistreri | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2020-09-17 |
| 1568023943 | Terri Lee Wallow | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-06-26 |
| 1649745340 | Miriam E Corona | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2018-10-09 |
| 1992290381 | Jacqueline Venesia Mcrae | Counselor | 4810 Northwestern Ave, Mount Pleasant, WI 53406-1504 | 2018-06-27 |
| 1619480571 | Sarah Marie Jaeck | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2017-11-14 |
| 1922544881 | Seth Oketch | Counselor | 5735 Durand Ave Ste A, Mount Pleasant, WI 53406-5011 | 2017-01-16 |
| 1821530965 | Andrew Keeley | Counselor | 4273 Corporate Dr, Mount Pleasant, MI 48858-5321 | 2016-11-07 |
| 1215300538 | Andrews King | Counselor | 5735 Durand Ave, Suite A, Mount Pleasant, WI 53406-5011 | 2015-11-09 |
| 1932577186 | Caroline Daniela Bonilla | Counselor | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2015-09-04 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on MS. SAMANTHA LYNN JENDZA.
| 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.