MR. ROBERTO EZEQUIEL DONATI (NPI# 1114570421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114570421 |
| Entity Type | Individual |
| Full Name | MR. ROBERTO EZEQUIEL DONATI |
| Credential | LGPC |
| Practice Address |
1813 Sweetbay Dr Salisbury MD 21804-1663 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4102195483 |
| Practice Fax Number | 4102195486 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LGP9994 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Street Address |
1813 SWEETBAY DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407803034 | Children's Choice | Respite Care | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2006-05-28 |
| 1922618677 | Carrie Anne Kellams | Nurse Practitioner | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2020-08-07 |
| 1962033167 | Karen Ashley Walls | Social Worker | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2020-01-28 |
| 1437796901 | Justina Kenna Ugorji | Nurse Practitioner | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-12-04 |
| 1891337101 | Gregory Lee Brown Jr. | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-10-09 |
| 1740837491 | Kiara Helen Marie Wharton | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-08-19 |
| 1194379784 | Jessica Susan Hibbs | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-07-31 |
| 1457825671 | Kristin Love Hearne | Social Worker | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-01-22 |
| 1265905863 | Douglas King | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-01-07 |
| 1194298703 | Franklin Brown | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| 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 |
|---|---|---|---|---|
| 1033682737 | Barbara Joyce Ruark | Counselor | 1113 Healthway Dr Apt 1c, Salisbury, MD 21804-4470 | 2019-01-04 |
| 1104207828 | Melissa Ledbetter | Counselor | 1701 Walker St, Salisbury, NC 28144-2548 | 2015-06-18 |
| 1851790505 | Donna Leffew | Counselor | 6322 Ayrshire Dr, Salisbury, MD 21801-2263 | 2014-08-19 |
| 1437561297 | Akeeyia Jefferson | Counselor | 1016 Cedar Village Trl, Salisbury, NC 28147-7294 | 2014-05-28 |
| 1083843908 | Angela Alford | Counselor | 1404 E Council St, Salisbury, NC 28146-4706 | 2009-07-13 |
| 1184822017 | Bethany Leah James | Counselor | 107 W. Cemetery St, Salisbury, NC 28144 | 2007-07-03 |
| 1215134861 | Leanna Thomson | Counselor | 704 W Highway 24, Salisbury, MO 65281-1621 | 2007-06-28 |
| 1922196567 | Megan Ruth Orr | Counselor | 1720 Hampshire Dr, Salisbury, NC 28146-7211 | 2006-10-10 |
| 1700823432 | Debra Suzanne Hullender | Counselor | 609 S Broadway, Salisbury, MO 65281 | 2006-06-01 |
| 1174120760 | Alexis Mcbean | Counselor | 1113 Healthway Dr, Salisbury, MD 21804-4470 | 2020-10-06 |
| Find all providers in SALISBURY | ||||
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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.