JILLIAN ROSEMARY SUMINSKI (NPI# 1881165140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881165140 |
| Entity Type | Individual |
| Full Name | JILLIAN ROSEMARY SUMINSKI |
| Practice Address |
400 Stoddard Rd. Memphis MI 48041 |
| Practice Telephone | 8103922167 |
| Mailing Telephone | 8103922167 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3980 | 05 | |
| MI | SACRED HEART | 3980 | 01 |
| Street Address |
400 STODDARD RD. |
| City | MEMPHIS |
| State | MI |
| Zip Code | 48041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020476 | Nancy Carole Mills | Counselor | 400 Stoddard Rd., Memphis, MI 48041-4103 | 2006-09-05 |
| 1437211083 | Shana Lynn Spencer | Counselor | 400 Stoddard Rd., Memphis, MI 48027 | 2006-12-13 |
| 1922105337 | Joyce Foster-hartsfield | Family Medicine | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-20 |
| 1003914805 | Karen S. Brooks | Counselor | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-20 |
| 1023112166 | Michael John Maniscalco | Counselor | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-11 |
| 1063516268 | Rita Wichtner | Counselor | 400 Stoddard Rd., Memphis, MI 41038-1038 | 2006-09-11 |
| 1083717417 | Cindy Lee Nash | Registered Nurse | 400 Stoddard Rd., Memphis, MI 48041-1038 | 2006-09-07 |
| 1699878728 | Sacred Heart | Residential Treatment Facility, Emotionally Disturbed Children | 400 Stoddard Rd., Memphis, MI 48041 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255533386 | Larry Gideon, M D | Family Medicine | 609 Bunnell M 19, Memphis, MI 48041 | 2007-06-01 |
| 1184647216 | Nicola Iosif Jaksa | Chiropractor | 35040 Helze Lane, Memphis, MI 48041 | 2006-07-26 |
| 1144749128 | Laura Elizabeth Taylor | Technician/Technologist | 3111 Electric Ave., Port Huron, MI 48041 | 2017-09-11 |
| 1811043466 | Jeffrey Michael Steenbergh | Social Worker | 400 Stoddard Rd, Memphis, MI 48041 | 2007-01-26 |
| 1891881561 | Pamela Jones | Licensed Practical Nurse | 400 Stoddard Rd, Memphis, MI 48041 | 2006-10-04 |
| 1780789578 | Mary Ann Golish | Counselor | 400 Stoddard Road, Memphis, Memphis, MI 48041 | 2006-09-14 |
| 1154424455 | Gerald Charles Zemens | Counselor | 400 Stoddard Road, Box 41038, Memphis, MI 48041 | 2006-09-06 |
| 1235225863 | Billie Fay Deke | Licensed Practical Nurse | 400 Stoddard, Memphis, MI 48041-1038 | 2006-10-04 |
| 1245333517 | Frances Louise Deponio | Counselor | 400 Stoddard Ave., Memphis, MI 48041-1038 | 2006-09-05 |
| 1710089065 | Mary Ann Dooley | Counselor | 400 Stoddard Road, Memphis, MI 48041-1038 | 2006-09-05 |
| Find all providers in zip 48041 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356864565 | Toriella Jackson | Peer Specialist | 135 N Cleveland St, Memphis, TN 38104-2002 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026284 | Leah Mae Sindone | Peer Specialist | 22324 Derby Rd, Woodhaven, MI 48183-3700 | 2020-09-04 |
| 1992314728 | Willie Earl Feggins | Peer Specialist | 370 Country Club Rd, Holland, MI 49423-8303 | 2020-07-28 |
| 1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
| 1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
| 1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
| 1235768680 | Matthew Milz | Peer Specialist | 145o S Lapeer Rd, Oxford, MI 48371-4982 | 2020-04-07 |
| 1558996132 | Camille Jewell Jackson | Peer Specialist | 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 | 2020-03-04 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 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.