LAURA DANIELLE MAMMEN (NPI# 1821480104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821480104 |
| Entity Type | Individual |
| Full Name | LAURA DANIELLE MAMMEN |
| Credential | LPC, LMFT, NCC, ACS |
| Practice Address |
805 Leonard St Ne Grand Rapids MI 49503-1138 |
| Practice Telephone | 6167744617 |
| Practice Fax Number | 6163614141 |
| Mailing Telephone | 6167744617 |
| Mailing Fax Number | 6163614141 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401007999 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 4101006214 | MI | Behavioral Health & Social Service Providers |
| Street Address |
805 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801929435 | D A Blodgett-st Johns | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2007-03-13 |
| 1023628864 | Aubrey Jo Longstreet | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-08-06 |
| 1679190169 | Emma Mannes | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-06-30 |
| 1952922023 | Isabel Berkson | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-04-30 |
| 1144860008 | Hanna Elizabeth Pearson | Behavior Technician | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-01-08 |
| 1891333407 | Elizabeth Kathleen Downing | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-12-13 |
| 1922649102 | Bradley J Wallsteadt | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-09-30 |
| 1568019693 | Lauren Nicole Cross | Behavior Technician | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-08-22 |
| 1336795517 | Sierra Lynn Williams | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-08-14 |
| 1851947246 | Dana Christine Hulst | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020558 | Danita Mcalister | Counselor | 2504 Normandy Dr Se Apt 213b, Grand Rapids, MI 49506-7901 | 2020-10-16 |
| 1013521574 | Megan Flier | Counselor | 3744 Bradford St Ne, Grand Rapids, MI 49525-3325 | 2020-09-02 |
| 1457962078 | Cappon Consulting LLC | Counselor | 1344 Mayfield Ave Ne, Grand Rapids, MI 49505-5525 | 2020-08-17 |
| 1124644596 | Travis James Atkinson | Counselor | 3000 Wausaukee Dr Ne, Grand Rapids, MI 49525-1916 | 2020-06-22 |
| 1639790207 | Tracey Wicks | Counselor | 78 Centerbrook St Se, Grand Rapids, MI 49548-6902 | 2020-05-05 |
| 1174160592 | Lindsey Elizabeth Rosa | Counselor | 845 5th St Nw Apt 2, Grand Rapids, MI 49504-5163 | 2019-12-04 |
| 1710530597 | New Way Counseling LLC | Counselor | 1971 E Beltline Ave Ne Ste C, Grand Rapids, MI 49525-7045 | 2019-07-19 |
| 1588216048 | Kate Jack | Counselor | 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546-5794 | 2019-07-15 |
| 1104488105 | Travis Gordon | Counselor | 800 Monroe Ave Nw Ste 319, Grand Rapids, MI 49503-1451 | 2019-07-01 |
| 1255996575 | The Family Therapy Place Pllc | Counselor | 731 Front Ave Nw, Grand Rapids, MI 49504-5366 | 2019-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on LAURA DANIELLE MAMMEN.
| 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.