MADONNA ARISTORENAS (NPI# 1942369723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942369723 |
| Entity Type | Individual |
| Full Name | MADONNA ARISTORENAS |
| Credential | B.A. |
| Practice Address |
641 E Poplar Ave Selmer TN 38375-1828 |
| Practice Telephone | 7316455753 |
| Practice Fax Number | 7316459885 |
| Mailing Telephone | 7316455753 |
| Mailing Fax Number | 7316459885 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
641 E POPLAR AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972611788 | Stephanie Goodrum | Social Worker | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2006-08-29 |
| 1700424355 | Margaret Ashley Gary | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2019-12-13 |
| 1710263066 | Sherry Thompson | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2011-11-01 |
| 1962788216 | Sandy Bates | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2011-11-01 |
| 1790086155 | Caleb Mclean | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2010-11-16 |
| 1134438062 | Lashon Conner | Nurse Practitioner | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2010-09-27 |
| 1457687022 | Kirby Redmon | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2009-11-02 |
| 1306070602 | Tami Buck | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2009-05-14 |
| 1366691040 | Gwen D Smith | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-09-17 |
| 1154577211 | Tressel Ball | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1568575249 | Ronnie Lee Fullwood | Dentist | 177 Court Ave, Selmer, TN 38375 | 2006-08-16 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| Find all providers in zip 38375 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710263066 | Sherry Thompson | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2011-11-01 |
| 1962788216 | Sandy Bates | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2011-11-01 |
| 1790086155 | Caleb Mclean | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2010-11-16 |
| 1457687022 | Kirby Redmon | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2009-11-02 |
| 1306070602 | Tami Buck | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2009-05-14 |
| 1366691040 | Gwen D Smith | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-09-17 |
| 1154577211 | Tressel Ball | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-08-08 |
| 1487810024 | Sherrilynn Hurd | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-08-04 |
| 1629231469 | Donna Clenette Moore | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-07-02 |
| 1629249297 | Jessica Mcintosh | Counselor | 641 E Poplar Ave, Selmer, TN 38375-1828 | 2008-03-21 |
| Find all providers in SELMER | ||||
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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.