MR. DEMETRIUS LEVANCE ANDERSON SR. (NPI# 1891255782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891255782 |
Entity Type | Individual |
Full Name | MR. DEMETRIUS LEVANCE ANDERSON SR. |
Credential | LPC CSW |
Practice Address |
7732 N 80th St Milwaukee WI 53223-3810 |
Practice Telephone | 4144774506 |
Mailing Telephone | 4144774506 |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-03-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3761-226 | WI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
1801170048 | Demetrius Laron Anderson | Behavioral Analyst | 2322 Cedar Brook Dr, Moore, OK 73160-8929 | 2011-10-06 |
1407123037 | Demetrius Anderson | Chiropractor | 2334 S Michigan Ave, Chicago, IL 60616-2105 | 2011-11-28 |
Street Address |
7732 N 80TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53223-3810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
Find all providers in zip 53223 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
1407465701 | Lashana Marie Vance | Counselor | 1311 S 93rd St, Milwaukee, WI 53214-2714 | 2020-07-23 |
1295358430 | Karmelita Moore | Counselor | 620 N 76th St, Milwaukee, WI 53213-3508 | 2020-05-22 |
1245871557 | Neyel Powell | Counselor | 1849 N Martin Luther King Dr Ste 101, Milwaukee, WI 53212-3639 | 2019-10-08 |
1639642382 | Shaquita Glenn | Counselor | 1845 N Farwell Ave Ste 301, Milwaukee, WI 53202-1715 | 2019-01-05 |
1992274070 | Amy Lynn Geyser | Counselor | 204 E Capitol Dr Ste 100, Milwaukee, WI 53212-1200 | 2018-11-18 |
1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
1942793070 | Nicholas Jenkins | Counselor | 2439 S Wentworth Ave Apt A, Milwaukee, WI 53207-1932 | 2018-06-13 |
Find all providers in MILWAUKEE |
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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.