MONIQUE WELLONS (NPI# 1164762696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164762696 |
| Entity Type | Individual |
| Full Name | MONIQUE WELLONS |
| Other Name | MONIQUE BROWN |
| Practice Address |
31 W 20th St Riviera Beach FL 33404-6155 |
| Practice Telephone | 5618999140 |
| Practice Fax Number | 5613312715 |
| Mailing Telephone | 5618999140 |
| Mailing Fax Number | 5613312715 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MCAP100321 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH13105 | FL | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1870 Forest Hill Blvd Ste 200, West Palm Beach, FL 334066061 | 5619046514 |
| Street Address |
31 W 20TH ST |
| City | RIVIERA BEACH |
| State | FL |
| Zip Code | 33404-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316320591 | Changes Family Practice Clinic | Nurse Practitioner | 31 W 20th St, Riviera Beach, FL 33404-6155 | 2015-07-07 |
| 1578997573 | Alpha Omega Alliance Inc | General Practice | 31 W 20th St, Riviera Beach, FL 33404 | 2013-08-26 |
| 1518309855 | Changes Wellness & Recovery Center | Psychologist | 31 W 20th St, Riviera Beach, FL 33404-6155 | 2013-07-29 |
| 1235578287 | Alpha Omega Alliance Inc | Clinic/Center | 31 W 20th St, Riviera Beach, FL 33404-6155 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1417509613 | Amber Tamara Seaman | Social Worker | 2001 Bue Herron Drive, Riviera Beach, FL 33404 | 2019-07-09 |
| 1407419252 | Tiara Priester | Nurse's Aide | 1625 West 26th Street Riviera Beach,fl, Riviera Beach, FL 33404 | 2019-04-17 |
| 1598274110 | Yolanda Victoria Mckinney-foy | Counselor | 2910 Avenue F, Riviera Beach, FL 33404 | 2017-09-26 |
| 1356867626 | Lynette Patrice Copeland | Speech-Language Pathologist | 1901 Avenue S, 1901 Avenue S, Rivera Beach, FL 33404 | 2017-08-18 |
| 1205359320 | Community Development and Empowerment Group, Inc. | Registered Nurse | 3148 Laurel Ridge Circle, Riviera Beach, FL 33404 | 2017-07-20 |
| 1407387327 | Chelsea Flint | Counselor | 2201 Blue Heron Blvd. W., Riviera Beach, FL 33404 | 2017-03-22 |
| 1841736923 | Tangeria Mckinney | Clinic/Center | 1992 West 16th Court Apt D, Riviera Beach, FL 33404 | 2017-01-12 |
| 1942742994 | Ambrosia Treatment Center | Substance Abuse Rehabilitation Facility | 2675 Lake Drive, Singer Island, FL 33404 | 2016-11-08 |
| 1225499874 | Rhesa Riley | Marriage & Family Therapist | 2001 Blue Heron Blvd W., Riviera Beach, FL 33404 | 2016-03-10 |
| Find all providers in zip 33404 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215220538 | Deborah Kelly | Case Manager/Care Coordinator | 1473 W 34th St, Riviera Beach, FL 33404-2909 | 2011-05-19 |
| 1659518686 | Argentina Yvonne Moore | Case Manager/Care Coordinator | 2000 W Blue Heron Blvd, Riviera Beach, FL 33404-5010 | 2009-01-13 |
| 1982241550 | Maryellen Warren | Case Manager/Care Coordinator | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2019-12-03 |
| 1356988067 | Stephanie Zuckerberg | Case Manager/Care Coordinator | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2019-12-02 |
| 1235634551 | Kerrinesha Brown | Case Manager/Care Coordinator | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-03-28 |
| 1811490915 | Kimberly C Mccray | Case Manager/Care Coordinator | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-03-14 |
| 1518460807 | Sinteria D Cooper | Case Manager/Care Coordinator | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
| City | RIVIERA BEACH |
| Zip Code | 33404 |
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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.