BENJAMIN SAMUEL HOLM (NPI# 1861023509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861023509 |
| Entity Type | Individual |
| Full Name | BENJAMIN SAMUEL HOLM |
| Practice Address |
508 Shattuck Rd Saginaw MI 48604-2329 |
| Practice Telephone | 9897527867 |
| Practice Fax Number | 9897526830 |
| Mailing Telephone | 9897527867 |
| Mailing Fax Number | 9897526830 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801102827 | MI | Behavioral Health & Social Service Providers |
| Street Address |
508 SHATTUCK RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399165 | Shannon Melissa Taylor Bond | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2007-03-02 |
| 1457993289 | Lorene Margaret Wamsley | Social Worker | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2019-10-14 |
| 1386114783 | Denise Ann Stark | Case Manager/Care Coordinator | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2018-11-28 |
| 1508334053 | Nicole Jackson | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2018-11-02 |
| 1891294542 | Janice Elizabeth Grigsby | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2018-02-08 |
| 1639688534 | Jene' Lindsay Taylor | Counselor | 508 Shattuck Rd, Saginaw, MI 48604 | 2017-09-22 |
| 1801330535 | Danielle Mcdowell | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-12-14 |
| 1427592401 | Bobbi J Lesko | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-12-12 |
| 1851845408 | Jessica Sue Peterson | Social Worker | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-08-12 |
| 1285086140 | Chelsey Unsworth | Social Worker | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801441654 | Willie L Hillman Jr. | Counselor | 3188 Churchhill Ln Apt 2, Saginaw, MI 48603-4317 | 2019-08-08 |
| 1760977268 | Graciela Rico | Counselor | 5085 Pheasant Run Dr Apt 4, Saginaw, MI 48638-6344 | 2018-06-27 |
| 1942743992 | Mary Louise Bridgewater | Counselor | 1010 N Niagara St Ste 2, Saginaw, MI 48602-4359 | 2016-11-23 |
| 1942742416 | Ja Mai Harris Edwards | Counselor | 1131 Frisco Dr, Saginaw, TX 76131-4933 | 2016-11-15 |
| 1841658242 | Corey Pritchett | Counselor | 4942 Fontaine Blvd Apt C3, Saginaw, MI 48603-3876 | 2016-02-01 |
| 1164865275 | Nekeia Hopkins | Counselor | 304 S. Niagra, Saginaw, MI 48602 | 2013-04-09 |
| 1275764995 | Dca Behavioral Management Inc. | Counselor | 3195 Christy Way S Ste 3, Saginaw, MI 48603-2213 | 2009-07-29 |
| 1497971600 | Sandra Leigh Wuobio | Counselor | 3190 Hallmark Ct., Suite 100, Saginaw, MI 48603 | 2007-04-17 |
| 1578597167 | Gloria S Waugh | Counselor | 6030 Bay Rd, Saginaw, MI 48604 | 2006-07-10 |
| 1356395685 | Catholic Family Service | Counselor | 710 Michigan Avenue, Saginaw, MI 48602-4372 | 2006-05-20 |
| Find all providers in SAGINAW | ||||
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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.