STACEY VANDENBERG, LLC (NPI# 1952771495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952771495 |
| Entity Type | Organization |
| Organization Name | STACEY VANDENBERG, LLC |
| Other Organization Name | VANDENBERG CONSULTING, LLC |
| Practice Address |
3531 Denver Dr Muskegon MI 49445-2196 |
| Practice Telephone | 2313432781 |
| Mailing Telephone | 2313432781 |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2015-09-27 |
| Authorized Official Name | MRS. STACEY LYNN VANDENBERG (OWNER/COUNSELOR) |
| Authorized Official Telephone | 2313432781 |
| Authorized Official Credential | MA, LPC, NCC, CA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6401006558 | MI | Agencies |
| Other Name | Type Code |
|---|---|
| Vandenberg Consulting, LLC | Doing Business As Name - Organization |
| Street Address |
3531 DENVER DR |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49445-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801441720 | Center for Equine and Youth Rehabilitation | Community/Behavioral Health | 700 N Hilton Park Rd, Muskegon, MI 49442-9424 | 2019-08-07 |
| 1992267397 | Advancement Pediatric Autism Therapy LLC | Community/Behavioral Health | 1575 6th St, Muskegon, MI 49441-2428 | 2019-04-03 |
| 1861928459 | Health West | Community/Behavioral Health | 571 E Apple Ave, Muskegon, MI 49442-3643 | 2017-05-03 |
| 1467823054 | Preferred Employment & Living Supports | Community/Behavioral Health | 1205 Peck St, Muskegon, MI 49441-2121 | 2015-10-08 |
| 1225354293 | Disability Connection | Community/Behavioral Health | 1871 Peck St, Muskegon, Muskegon, MI 49441-2534 | 2010-04-15 |
| 1770133407 | A Frame of Mind | Community/Behavioral Health | 2836 E Apple Ave, Muskegon, MI 49442-4502 | 2019-09-15 |
| 1427604396 | County of Muskegon | Community/Behavioral Health | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2019-08-15 |
| 1609332642 | County of Muskegon | Community/Behavioral Health | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2019-02-14 |
| 1952829715 | Gabrielle B Bailey | Community/Behavioral Health | 3391 Merriam St, Muskegon, MI 49444-3155 | 2017-08-31 |
| 1457884009 | Jaquale Rhodes | Community/Behavioral Health | 349 Jackson Ave, Muskegon, MI 49442-1114 | 2017-04-10 |
| Find all providers in MUSKEGON | ||||
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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.