MS. LINDA LOUISE SISEMORE (NPI# 1861538225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861538225 |
Entity Type | Individual |
Full Name | MS. LINDA LOUISE SISEMORE |
Credential | BS, CADC I |
Practice Address |
12652 Woodpecker Dr Se Turner OR 97392-9731 |
Practice Telephone | 5033997400 |
Practice Fax Number | 5033997575 |
Mailing Telephone | 5033997400 |
Mailing Fax Number | 5033997575 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
03-11-50 | OR | Behavioral Health & Social Service Providers |
X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
12652 WOODPECKER DR SE |
City | TURNER |
State | OR |
Zip Code | 97392-9731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649719345 | Venessa Brewton | Assistant Behavior Analyst | 8372 Enchanted Way, Turner, OR 97392 | 2017-02-15 |
1598895880 | Kristin R Wells | Speech-Language Pathologist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2007-03-06 |
1447797485 | Lauren Fojaco | Speech-Language Pathologist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2017-01-29 |
1609320704 | Joanna Kishpaugh | Speech-Language Pathologist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2016-08-08 |
1285004440 | Lee Ann Baecker | Speech-Language Pathologist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2015-09-30 |
1194145524 | Dennise Josephson Prosser | Speech-Language Pathologist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2014-04-24 |
1437572823 | Mary C Ficken | Occupational Therapist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2014-01-21 |
1861741928 | Chatterboks Speech Therapy PC | Speech-Language Pathologist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2012-09-05 |
1750637070 | Lindsay Marie Park-campbell | Speech-Language Pathologist | 2783 Ridgeway Dr Se, Turner, OR 97392-9370 | 2012-07-25 |
1295738532 | Turner Fire District | Ambulance | 7605 3rd St Se, Turner, OR 97392-9411 | 2005-05-31 |
Find all providers in zip 97392 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174958805 | Catherine Lynn Ouellette | Counselor | 31 Starlite Drive, Turner, ME 04282 | 2013-09-12 |
1548506348 | Gerald L Lachapelle | Counselor | 161 Poplar Hill Rd, Turner, ME 04282-3828 | 2012-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
1013522663 | Red Is The Road To Wellness (rrw) | Counselor | 3206 Onyx Ave, Klamath Falls, OR 97603-7279 | 2020-09-10 |
1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
1821615832 | Cynthia Machelle Gonzalez | Counselor | 925 Avenue S Unit 1, Seaside, OR 97138-7780 | 2020-06-25 |
1720603335 | Benetta Vincent | Counselor | 3194 Se Tumblestone Dr, Hillsboro, OR 97123-7966 | 2020-06-09 |
1669092201 | Exodus Recovery Services LLC. | Counselor | 230 N 3rd St Ste 105, Harrisburg, OR 97446-9679 | 2020-04-23 |
Find all providers with the same taxonomy |
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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.