MR. KENNETH GEORGE MYERS JR. (NPI# 1053862128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053862128 |
| Entity Type | Individual |
| Full Name | MR. KENNETH GEORGE MYERS JR. |
| Credential | M.A. |
| Practice Address |
1511 W 3rd Ave Suite 104 Albany GA 31707-3695 |
| Mailing Address |
215 S Lamont St Ashburn GA 31714-5329 |
| Practice Telephone | 2298544886 |
| Mailing Telephone | 2298544886 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609306224 | Kenneth Myers Jr. | Registered Nurse | 73 King Charles Lane, Newtown, PA 18940 | 2017-06-15 |
| 1194002295 | Kenneth E Myers | Social Worker | 275 7th Ave Rm 2501, New York, NY 10001-8400 | 2011-11-03 |
| 1942390034 | Kenneth E Myers | Dentist | 2 Blackstrap Rd, Falmouth, ME 04105-2238 | 2006-10-13 |
| 1891718938 | Kenneth Geoffrey Myers | Social Worker | 13914 Rock Still Ct, Clifton, VA 20124-2529 | 2006-07-26 |
| 1780602078 | Kenneth K. Myers | Dentist | 225 Eagle Crest Drive, Rangely, CO 81648 | 2006-07-17 |
| 1457333122 | Kenneth Patrick Myers | Chiropractor | 9033 Baseline Rd, Suite Q, Rancho Cucamonga, CA 91730-1255 | 2005-11-17 |
| 1538159777 | Kenneth William Myers | Allergy & Immunology | 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8352 | 2005-10-27 |
| 1629696331 | Kenneth James Myers | Pharmacist | 4214 E Indian School Rd Ste 103, Phoenix, AZ 85018-5339 | 2020-07-09 |
| 1285166256 | Kenneth Myers Jr. | Physical Therapist | 2855 Westminster Plaza Dr, Houston, TX 77082-2960 | 2017-03-29 |
| 1740684638 | Kenneth Elwood Myers IIi | Nurse Practitioner | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2014-10-21 |
| Street Address |
1511 W 3RD AVE SUITE 104 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-3695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688198 | Ann S Priddy | Social Worker | 1511 W 3rd Ave, Suite 104, Albany, GA 31707-3695 | 2005-12-01 |
| 1790229805 | Richard F Garrett Trauma Solutions LLC | Social Worker | 1511 W 3rd Ave, #104, Albany, GA 31707-3695 | 2016-12-08 |
| 1134489503 | Ann Priddy Lcsw PC | Community/Behavioral Health | 1511 W 3rd Ave, Suite 104, Albany, GA 31707-3695 | 2012-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| 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 |
|---|---|---|---|---|
| 1548805211 | Tequilla Brown Woods | Counselor | 724 Mobile Ave Lot 1, Albany, GA 31705-3264 | 2019-11-16 |
| 1265089528 | Eric Thomas Ashmore | Counselor | 147 Eagle St Apt 1, Albany, NY 12202-1740 | 2019-08-21 |
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1013423987 | Andrew Xavier Feeney | Counselor | 1525 Western Ave Ste 1, Albany, NY 12203-3537 | 2017-12-14 |
| 1750824314 | Jennifer Badde | Counselor | 958 Neilson St, Albany, CA 94706-2141 | 2016-11-29 |
| 1942758883 | Latasha Toombs | Counselor | 4812 Pinto Dr, Albany, GA 31705-6025 | 2016-09-21 |
| 1043765415 | Kathleen Fitzgerald | Counselor | 43 New Scotland Ave # E302, Albany, NY 12208-3478 | 2016-08-16 |
| 1699229245 | Amanda Zucker | Counselor | 1105 Gale St Sw, Albany, OR 97321-1862 | 2016-08-12 |
| 1871952887 | Terrell Lawson | Counselor | 1617 Whisperwood St, Albany, GA 31721-1938 | 2016-02-18 |
| 1518331453 | Tami Denise Tolbert | Counselor | 1142 Dawson Rd Ste 103, Albany, GA 31707-6800 | 2015-11-16 |
| Find all providers in ALBANY | ||||
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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.