AMANTE JORDAN GONZALEZ (NPI# 1760959464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760959464 |
Entity Type | Individual |
Full Name | AMANTE JORDAN GONZALEZ |
Credential | LLPC |
Practice Address |
5675 Fairview St Stevensville MI 49127-1033 |
Mailing Address |
4411 International Ct Apt A47 Berrien Springs MI 49103-1720 |
Practice Telephone | 2694297727 |
Mailing Telephone | 2699449230 |
Enumeration Date | 2018-10-31 |
Last Update Date | 2018-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401016896 | MI | Behavioral Health & Social Service Providers |
Street Address |
5675 FAIRVIEW ST |
City | STEVENSVILLE |
State | MI |
Zip Code | 49127-1033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679500243 | Mary Frank | Psychologist | 5675 Fairview St, Stevensville, MI 49127-1033 | 2006-06-27 |
1245899863 | Matthew Francis Benoit | Psychologist | 5675 Fairview St, Stevensville, MI 49127-1033 | 2019-06-07 |
1255805461 | Kara Youngblood | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2019-01-22 |
1417423930 | Christiana Danielle Atkins | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2018-10-23 |
1396081451 | Bradford Wilson | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2012-12-18 |
1356626253 | Mary Gilliam-andres | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2011-10-12 |
1124346515 | Lakeland Medical Practices | Clinic/Center | 5675 Fairview St, Stevensville, MI 49127-1033 | 2010-05-10 |
1982843397 | Nancy May Tripp | Social Worker | 5675 Fairview St, Stevensville, MI 49127-1033 | 2009-02-09 |
1144499864 | Kristine A Petlick | Psychologist | 5675 Fairview St, Stevensville, MI 49127-1033 | 2008-02-27 |
1740387935 | Richard A Watson | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2006-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114404993 | Allison Kay Sobanski | Doula | 2802 Crownpoint Road, Stevensville, MI 49127 | 2018-07-24 |
1922525013 | Lavender and Sage Therapeutic Massage, LLC | Massage Therapist | 1816 West John Beers Rd, Stevensville, MI 49127 | 2017-08-29 |
1265962419 | Dr Melanie J Jones Optometrist PC | Optometrist | 5770 Cleveland Ave, Stevensville, MI 49127 | 2017-06-19 |
1417487018 | James Allen Organ | Registered Nurse | 2074 Joni Ln, Stevensville, MI 49127 | 2017-06-15 |
1114196086 | Tina W Latham-enix | Massage Therapist | 2634 West John Beers Rd., Stevensville, MI 49127 | 2008-02-26 |
1659578219 | Berrien County Cancer Service Inc | Prosthetic/Orthotic Supplier | 7301 Red Arrow Hwy, Stevensville, MI 49127 | 2007-06-28 |
1821207630 | Robert K Mcintyre | Psychologist | 7889 Red Arrow Hwy, Stevensville, MI 49127 | 2007-05-21 |
1265551642 | Carol Ann Shaver | Clinical Neuropsychologist | 5722 St Joseph Avenue, Stevensville, MI 49127 | 2007-03-28 |
1154431906 | James Bednar | Dentist | 5754 Red Arrow Highway, Stevensville, MI 49127 | 2006-08-30 |
1194830786 | David Anderson Siewert | Dentist | 5638 Cleveland Ave, Stevensville, MI 49127 | 2006-08-21 |
Find all providers in zip 49127 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619418589 | Ashley Denelle Garnett | Counselor | 115 W 3rd St Ste 6, Stevensville, MT 59870-2038 | 2017-03-13 |
1093899106 | Marilyn J. Murphy | Counselor | 3972 Us Highway 93 N, Stevensville, MT 59870-6494 | 2006-10-25 |
1811538622 | Lisa Pardoe Maki | Counselor | 155 Log Canoe Cir, Stevensville, MD 21666-2127 | 2019-10-02 |
1255805461 | Kara Youngblood | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2019-01-22 |
1396282471 | Crystal Renee Blanchard | Counselor | 155 Log Canoe Cir, Stevensville, MD 21666-2127 | 2017-01-26 |
1861802381 | Kristin Morton | Counselor | 155 Log Canoe Cir, Stevensville, MD 21666-2127 | 2014-05-06 |
1356626253 | Mary Gilliam-andres | Counselor | 5675 Fairview St, Stevensville, MI 49127-1033 | 2011-10-12 |
1487860730 | Bitterroot Valley Education Cooperative | Counselor | 300 Park St, Stevensville, MT 59870-2603 | 2007-05-15 |
1437181096 | Julie Lyn Dixon | Counselor | 721 Main St, Suite 100, Stevensville, MD 21666-4068 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
Find all providers with the same taxonomy |
City | STEVENSVILLE |
Zip Code | 49127 |
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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.