| Donarski Center For Mental Health Counseling | |
|
830 Pleasant St Ste 201 Saint Joseph MI 49085-2279 | |
| (269) 982-3832 | |
| Not Available |
| Full Name | Donarski Center For Mental Health Counseling |
|---|---|
| Speciality | Counselor |
| Location | 830 Pleasant St Ste 201, Saint Joseph, Michigan |
| Authorized Official Name and Position | Edwin Ruben Vergara (CEO) |
| Authorized Official Contact | 2319200138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donarski Center For Mental Health Counseling 830 Pleasant St Ste 201 Saint Joseph MI 49085-2279 Ph: () - | Donarski Center For Mental Health Counseling 830 Pleasant St Ste 201 Saint Joseph MI 49085-2279 Ph: (269) 982-3832 |
| NPI Number | 1467113449 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Medicare PECOS PAC ID | 1254727381 |
|---|---|
| Medicare Enrollment ID | O20220329002766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467113449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Janene M Donarski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508993247 PECOS PAC ID: 8325071095 Enrollment ID: I20130604000589 |
| Provider Name | Shannon L Groh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275830093 PECOS PAC ID: 0143616763 Enrollment ID: I20240109003857 |
| Provider Name | Edwin R Vergara-mego |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184108904 PECOS PAC ID: 6204222367 Enrollment ID: I20240111004131 |
| Provider Name | Allyse M Ide |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1528798667 PECOS PAC ID: 0547792442 Enrollment ID: I20241016004398 |
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