REBECCA PETTINGER (NPI# 1821524174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821524174 |
| Entity Type | Individual |
| Full Name | REBECCA PETTINGER |
| Credential | LLPC |
| Practice Address |
5716 Michigan Ave Suite 3000 Detroit MI 48210-3039 |
| Practice Telephone | 3139632266 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401015931 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5716 MICHIGAN AVE SUITE 3000 |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205827573 | Lisa J Mcintosh | Obstetrics & Gynecology | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2005-11-04 |
| 1891326625 | Gabriella Jamie Sanford | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-30 |
| 1972143782 | Joanna Veronica Dimas | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-09 |
| 1720621279 | Rachel Campbell | Nurse Practitioner | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-10-28 |
| 1326699752 | Carmensita J Buentello | Counselor | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-26 |
| 1316598329 | Disheka Denise Beverly-daniels | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-23 |
| 1912552449 | Katharine Nicole Marquez | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-08-01 |
| 1174183057 | Katherine Byl | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-06-13 |
| 1760955124 | Hawa A Haji-hassan | Student in an Organized Health Care Education/Training Program | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-09 |
| 1962975631 | Emma Jean Urbain | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| 1083804173 | Detroit Medical Centre | General Acute Care Hospital | 4201 St. Antoine, Detroit, MI 48210 | 2007-07-26 |
| 1205030277 | Renaissance Dental PC | Dentist | 7330 W Warren Ave, Detroit, MI 48210-1041 | 2007-06-13 |
| Find all providers in zip 48210 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244731 | Better Days Counseling, Pllc | Counselor | 13501 Schaefer Hwy, Detroit, MI 48227-3538 | 2020-08-08 |
| 1174144281 | Jasmine Noble | Counselor | 1535 Franklin St Apt 201, Detroit, MI 48207-4056 | 2020-04-29 |
| 1306473145 | Julie Weatherhead | Counselor | 1624 Estates Dr, Detroit, MI 48206-2814 | 2020-03-23 |
| 1972134591 | Tanya Bankston | Counselor | 4221 Moran St, Detroit, MI 48207-1705 | 2020-02-01 |
| 1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
| 1922561059 | Odis Bellinger | Counselor | 440 Burroughs St Ste 149, Detroit, MI 48202-3429 | 2019-04-06 |
| 1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1942764329 | Crystal Jean Oliver | Counselor | 13770 Mecca St., Detroit, MI 48227-3025 | 2019-01-30 |
| 1922577246 | Sheila Marie Cheeks | Counselor | 1600 Pingree St, Detroit, MI 48206-2436 | 2018-11-15 |
| Find all providers in DETROIT | ||||
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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.