RODNEY DEAN MATILAINEN (NPI# 1861595126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861595126 |
| Entity Type | Individual |
| Full Name | RODNEY DEAN MATILAINEN |
| Credential | L.A.D.C. |
| Practice Address |
4110 Ave. D Scottsbluff NE 69361 |
| Mailing Address |
131 Mary Ln Scottsbluff NE 69361-3829 |
| Practice Telephone | 3086353171 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
498 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | LICENSED ALCOHOL AND DRUG | 498 | 01 |
| Street Address |
4110 AVE. D |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402151 | Fulcrum Counseling Services, LLC | Counselor | 1930 E 20th Pl Ste B, Scottsbluff, NE 69361-2708 | 2018-10-08 |
| 1326426230 | Keri Nider | Counselor | 1917 Avenue A, Scottsbluff, NE 69361-2450 | 2015-05-12 |
| 1336542323 | Gage Stermensky II | Counselor | 1723 Avenue A, Scottsbluff, NE 69361-2446 | 2014-10-03 |
| 1780084632 | Julie D. Eckland | Counselor | 3321 Avenue I Ste 100, Scottsbluff, NE 69361-4586 | 2014-08-28 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1659629350 | Accs,inc. | Counselor | 2620 College Park, Scottsbluff, NE 69361-2295 | 2012-08-28 |
| 1912253394 | Sandra M Raney | Counselor | 2021 Broadway, Scottsbluff, NE 69361-1903 | 2012-08-03 |
| 1174753750 | Tina Williams | Counselor | 2621 5th Ave, Suite 4, Scottsbluff, NE 69361-1745 | 2009-07-17 |
| 1780733766 | Marcia Luann Estrada | Counselor | 1509 1st Ave, Scottsbluff, NE 69361-3106 | 2007-01-09 |
| 1134213556 | Olivia R. Gonzalez | Counselor | 4110 Ave D, Scottsbluff, NE 69361 | 2006-10-02 |
| Find all providers in SCOTTSBLUFF | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
Please comment or provide details below to improve the information on RODNEY DEAN MATILAINEN.
| 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.