AVERYL REID (NPI# 1790297885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790297885 |
| Entity Type | Individual |
| Full Name | AVERYL REID |
| Other Name | AVERYL HUDSON |
| Credential | MA, QMHP |
| Practice Address |
9150 E 109th Ave Ste 1b Crown Point IN 46307-7686 |
| Practice Telephone | 2197432488 |
| Mailing Telephone | 2197432488 |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
9150 E 109TH AVE STE 1B |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961530 | Ashleigh Anne Wagner | Counselor | 9150 E 109th Ave Ste 1b, Crown Point, IN 46307-7686 | 2020-01-13 |
| 1144732264 | Faithful Counsel | Counselor | 9150 E 109th Ave Ste 1b, Crown Point, IN 46307-7686 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646647 | Elizabeth Labriola | Counselor | 1406 E Joliet St, Crown Point, IN 46307-4724 | 2020-10-09 |
| 1215534037 | Jonathan Royce Vandervlugt | Counselor | 9614 Granada Ct Apt 111, Crown Point, IN 46307-2161 | 2020-10-05 |
| 1174148704 | Kristine Elizabeth Cornett | Counselor | 9405 Fillmore Ct, Crown Point, IN 46307-1747 | 2020-06-09 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1467973271 | Oryna Counseling, Inc. | Counselor | 1512 W 96th Ave Ste E, Crown Point, IN 46307-6266 | 2017-06-30 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1346611134 | Michael Harvey Jr. | Counselor | 107 E 93rd Ave, Crown Point, IN 46307-8601 | 2015-10-19 |
| 1639549587 | Tabitha Bolden | Counselor | 9806 Lincoln Ct, Crown Point, IN 46307-2427 | 2015-10-05 |
| 1235541244 | Jeremy Michael Waddell | Counselor | 1308 N Main Street, Crown Point, IN 46307 | 2014-05-25 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on AVERYL REID.
| 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.