MS. TARA MARIE KELLOGG (NPI# 1023267416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023267416 |
Entity Type | Individual |
Full Name | MS. TARA MARIE KELLOGG |
Practice Address |
3521 W Broward Blvd 3rd Floor Ft Lauderdale FL 33312-1048 |
Practice Telephone | 9545871008 |
Practice Fax Number | 9545870080 |
Mailing Telephone | 9545871008 |
Mailing Fax Number | 9545870080 |
Enumeration Date | 2008-09-10 |
Last Update Date | 2008-09-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | MT2003 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407081052 | Tara J Kellogg | Chiropractor | 209 W 13th St Apt 16, New York, NY 10011-7751 | 2009-05-27 |
Street Address |
3521 W BROWARD BLVD 3RD FLOOR |
City | FT LAUDERDALE |
State | FL |
Zip Code | 33312-1048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619925922 | Crawford Center, Inc. | Voluntary or Charitable | 3521 W Broward Blvd, Third Floor, Ft Lauderdale, FL 33312-1048 | 2006-05-05 |
1316256019 | Janethlyn Palomino | Counselor | 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 | 2010-09-29 |
1285941690 | Mirella Carla Ezeta | Counselor | 3521 W Broward Blvd, Ft Lauderdale, FL 33312-1048 | 2010-09-07 |
1174838262 | The Chrysalis Center | Community/Behavioral Health | 3521 W Broward Blvd, Ft Lauderdale, FL 33312-1048 | 2010-08-12 |
1912151069 | Tatiana Linares Zantua | Counselor | 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 | 2008-11-14 |
1932325883 | The Chrysalis Center | Community/Behavioral Health | 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
Find all providers in zip 33312 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104452119 | Amy Miller | Marriage & Family Therapist | 330 N Andrews Ave Ste 325, Ft Lauderdale, FL 33301-1027 | 2020-03-21 |
1952766867 | Jody L. Pflanzer, P.a. | Marriage & Family Therapist | 5310 Nw 33rd Ave Ste 221, Ft Lauderdale, FL 33309-6319 | 2015-12-18 |
1851601504 | Laurie Lynn Shoats | Marriage & Family Therapist | 3521 West Broward Blvd 3rd Floor, Ft Lauderdale, FL 33312 | 2010-10-15 |
1841406188 | Kenneth L. Frederick | Marriage & Family Therapist | 1925 S Perimeter Rd, Suite 120, Ft Lauderdale, FL 33309-7122 | 2007-05-15 |
1790257715 | Melissa Sue Williams | Marriage & Family Therapist | 2425 E Commercial Blvd Ste 400, Ft Lauderdale, FL 33308-4029 | 2019-01-02 |
1578038345 | Andrea Phillips | Marriage & Family Therapist | 2717 W Cypress Creek Rd, Ft Lauderdale, FL 33309-1756 | 2018-10-09 |
1376085779 | Cynthia Eidelman | Marriage & Family Therapist | 3800 W Broward Blvd, Ft Lauderdale, FL 33312-1018 | 2016-11-16 |
1720535321 | Corinne Scholtz | Marriage & Family Therapist | 101 Ne 3rd Ave, Ste 1500, Ft Lauderdale, FL 33301-1162 | 2016-09-01 |
1528474657 | Dorcas Iris De Jesus | Marriage & Family Therapist | 2700 W Cypress Creek Rd, Ft Lauderdale, FL 33309-1744 | 2014-07-09 |
1881014405 | Recovery Institute of The South East P.a. | Marriage & Family Therapist | 915 Middle River Dr Ste 201, Ft Lauderdale, FL 33304-3559 | 2014-04-22 |
Find all providers in FT LAUDERDALE |
City | FT LAUDERDALE |
Zip Code | 33312 |
Please comment or provide details below to improve the information on MS. TARA MARIE KELLOGG.
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.