RAYMOND W ERVIN (NPI# 1972144277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972144277 |
| Entity Type | Individual |
| Full Name | RAYMOND W ERVIN |
| Credential | CPRM |
| Practice Address |
1485 M 139 Benton Harbor MI 49022-5711 |
| Practice Telephone | 2699250585 |
| Practice Fax Number | 2699271326 |
| Mailing Telephone | 2699250585 |
| Mailing Fax Number | 2699271326 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
1485 M 139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669434361 | Payton Gordon Brown | Psychiatry & Neurology | 1485 M 139, Benton Harbor, MI 49022-5711 | 2006-04-06 |
| 1013529650 | Amber Kay Fergison | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-08-17 |
| 1225651268 | Shannon M Packingham | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-05-26 |
| 1649804428 | Donald P Gillespie | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-03-02 |
| 1881239697 | Kimberly M Sparkmon | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-11-15 |
| 1386287845 | Mikayla Cd Davis | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-28 |
| 1427691666 | Marion Anita Smith | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-21 |
| 1982252839 | Susann C Covert | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-09-03 |
| 1427610732 | Patricia A Taylor | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-07-08 |
| 1346800968 | Kasandra C Gonzalez | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699979799 | Nancy J. Vande Vrede | Counselor | 1201 Nickerson Ct, Benton Harbor, MI 49022-2423 | 2007-06-13 |
| 1740801042 | Jennica Christine Jaspering | Counselor | 497 Waukonda Ave, Benton Harbor, MI 49022-3142 | 2020-04-28 |
| 1093359135 | Rita Spence | Counselor | 497 Waukonda Ave, Benton Harbor, MI 49022-3142 | 2019-11-01 |
| 1497319396 | Margarethe Kerlin | Counselor | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2019-04-25 |
| 1871053389 | Quinten Smith | Counselor | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2019-03-21 |
| 1265958102 | Eddie Mottley | Counselor | 1485 M 139, Benton Harbor, MI 49022-5711 | 2017-08-22 |
| 1275076143 | Heidi Realmuto | Counselor | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2016-11-28 |
| 1053763649 | David Markham | Counselor | 1485 M 139, Benton Harbor, MI 49022 | 2016-07-07 |
| 1245693084 | Sabrina Carter | Counselor | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2016-03-30 |
| 1780069559 | Heather Rae Nemethy | Counselor | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2015-07-22 |
| Find all providers in BENTON HARBOR | ||||
| City | BENTON HARBOR |
| Zip Code | 49022 |
Please comment or provide details below to improve the information on RAYMOND W ERVIN.
| 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.