KIMBERLY M. JAGGARS (NPI# 1073754503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073754503 |
| Entity Type | Organization |
| Organization Name | KIMBERLY M. JAGGARS |
| Practice Address |
1841 Honeysuckle Rd Dothan AL 36305-4269 |
| Practice Telephone | 3347942113 |
| Practice Fax Number | 3347021220 |
| Mailing Telephone | 3347942113 |
| Mailing Fax Number | 3347021220 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |
| Authorized Official Name | KIMBERLY M JAGGARS (OWNER) |
| Authorized Official Telephone | 3347942113 |
| Authorized Official Credential | M.S., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
AL | Behavioral Health & Social Service Providers |
| Street Address |
1841 HONEYSUCKLE RD |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-4269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887799 | Randall G. Jordan | Psychologist | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2005-10-31 |
| 1528393659 | Lloyd E. Howell | Counselor | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2009-10-07 |
| 1750522447 | Kimberly M Jaggars | Counselor | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2009-03-10 |
| 1275783482 | Therapeutic Resources Inc | Psychiatric Residential Treatment Facility | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2008-09-24 |
| 1992960603 | Larry E Beauchamp Jr. | Marriage & Family Therapist | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2008-07-22 |
| 1346434164 | Robert S, Kline IIi, Psy.d. | Psychologist | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2007-09-05 |
| 1841340809 | Maryla Izabella Madura | Psychologist | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2007-01-11 |
| 1396756227 | Robert Samuel Kline | Psychologist | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2006-08-09 |
| 1972512788 | Chuck Emmett | Counselor | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2006-08-08 |
| 1891704920 | Jeffery Charles Justice | Counselor | 1841 Honeysuckle Rd, Dothan, AL 36305-4269 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159883 | John Nathaniel Mcanulty | Counselor | 100 Woodcreek Dr, Dothan, AL 36301-6204 | 2020-03-14 |
| 1942845573 | Jaleesa Mcmillan | Counselor | 2330 Montgomery Hwy, Dothan, AL 36303-3250 | 2019-11-07 |
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1083261325 | Krista Stephenson Smith | Counselor | 256 Honeysuckle Rd Ste 14, Dothan, AL 36305-1168 | 2019-08-21 |
| 1417502238 | Genesis Counseling Services, LLC | Counselor | 2246 Montgomery Hwy Ste 1, Dothan, AL 36303-3270 | 2019-08-08 |
| 1891353702 | Dothan Professional Counseling Services | Counselor | 310 Sprucepine Rd, Dothan, AL 36301-7268 | 2019-06-05 |
| 1366905648 | Kelley Marie Kearns | Counselor | 188 N Foster St Ste 101, Dothan, AL 36303-4568 | 2019-04-12 |
| 1750874160 | Jennifer Elisabeth Compton | Counselor | 2135 Denton Rd Ste 2, Dothan, AL 36303-2384 | 2018-06-11 |
| 1487161279 | Jeremiah Dalton | Counselor | 706 N Cherokee Ave, Dothan, AL 36303-3113 | 2018-01-03 |
| 1578084885 | Lisa Turner Rambo | Counselor | 3341 S Oates St Ste 118, Dothan, AL 36301-5889 | 2017-06-28 |
| Find all providers in DOTHAN | ||||
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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.