MELLESSA K BRENEM (NPI# 1801177647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801177647 |
| Entity Type | Individual |
| Full Name | MELLESSA K BRENEM |
| Credential | CI |
| Practice Address |
1012 W Macarthur Ave Odessa TX 79763-3341 |
| Mailing Address |
401 E Illinois Ave Midland TX 79701-4803 |
| Practice Telephone | 4325802624 |
| Practice Fax Number | 4325802609 |
| Mailing Telephone | 4325703333 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
8987 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1012 W MACARTHUR AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205847662 | Kellee Ann Thorpe | Speech-Language Pathologist | 1012 W Macarthur Ave, Odessa, TX 79763-3341 | 2006-08-11 |
| 1164077723 | Lisa Marie Miller | Physical Therapy Assistant | 1012 W Macarthur Ave, Odessa, TX 79763-3341 | 2019-08-09 |
| 1881176766 | Carmen Harris | Counselor | 1012 W Macarthur Ave, Odessa, TX 79763-3341 | 2018-09-06 |
| 1063954188 | Candace Duniven Hennings | Counselor | 1012 W Macarthur Ave, Odessa, TX 79763-3341 | 2016-11-07 |
| 1275955130 | Tammy Piervincenti Chelf | Counselor | 1012 W Macarthur Ave, Odessa, TX 79763-3341 | 2014-01-13 |
| 1225465883 | Veronica Quiroz | Counselor | 1012 W Macarthur Ave, Odessa, TX 79763-3341 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410836 | Hailey Selby | Counselor | 1205 W University Blvd, Odessa, TX 79764-7119 | 2016-03-24 |
| 1184031551 | Genevia Raylene Slate | Counselor | 822 N Lee Ave, Odessa, TX 79761-3945 | 2014-07-17 |
| 1942611876 | Paula Fleisher Nelson | Counselor | 1340 Lake Polo Dr, Odessa, FL 33556-1700 | 2014-05-13 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1518256551 | Angela Renee Myers | Counselor | 2000 Maurice Rd, Odessa, TX 79763-4811 | 2011-03-30 |
| 1104150879 | Larry L Anderson | Counselor | 1418 Shafter Ave, Odessa, TX 79761-3131 | 2009-09-28 |
| 1992938401 | Rebecca Marie Christian | Counselor | 4230 E 53rd St, #1125, Odessa, TX 79762-4850 | 2009-08-31 |
| 1104060094 | Roger Martin | Counselor | 1512 N Grandview Ave, Odessa, TX 79761-3044 | 2009-04-23 |
| 1427113406 | Anna Marie Scroggins | Counselor | 404 E 7th St, Odessa, TX 79761-4518 | 2006-12-27 |
| 1316007271 | Glenda G Collins | Counselor | 1512 N Grandview, Ste E, Odessa, TX 79761-3045 | 2006-12-11 |
| Find all providers in ODESSA | ||||
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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.