MARY NEBERGALL (NPI# 1174065627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174065627 |
| Entity Type | Individual |
| Full Name | MARY NEBERGALL |
| Credential | LPCC |
| Practice Address |
722 Scott St Covington KY 41011-2418 |
| Mailing Address |
502 Farrell Dr Covington KY 41011-3717 |
| Practice Telephone | 8593313292 |
| Mailing Telephone | 8595783204 |
| Mailing Fax Number | 8595783273 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
248448 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | TAX ID | 610661458 | 01 |
| Street Address |
722 SCOTT ST |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518921329 | Larry J Gross | Psychiatry & Neurology | 722 Scott St, Covington, KY 41011-2418 | 2006-04-17 |
| 1124506902 | Sarah Shoemaker | Counselor | 722 Scott St, Covington, KY 41011-2418 | 2018-08-02 |
| 1972973956 | Megan Feldman | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2015-10-02 |
| 1760852743 | Nimrah Mitchell | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2015-10-02 |
| 1134599277 | Jennifer Lasita | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2015-10-01 |
| 1124431697 | Jeffrey Afterkirk | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2014-06-03 |
| 1972923449 | Zachary Mockbee | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2014-04-23 |
| 1285054817 | Tamara Dunn | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2014-04-22 |
| 1750701397 | Jennifer Winebrenner | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2014-04-22 |
| 1528488418 | Ellen Eichorst | Case Manager/Care Coordinator | 722 Scott St, Covington, KY 41011-2418 | 2014-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409612 | Reach Counseling Solutions, Pllc | Counselor | 1776 Continental Dr Unit 503, Covington, LA 70433-7283 | 2020-05-26 |
| 1295379642 | Cindy Brown | Counselor | 214 Lee Ln Ste B, Covington, LA 70433-3252 | 2019-10-29 |
| 1649770025 | Timothy Irvin Bolen | Counselor | 141 Highway 142, Covington, GA 30014-4857 | 2018-02-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1417492836 | Shannon Conner | Counselor | 67140 Industry Ln., Covington, LA 70433 | 2016-12-20 |
| 1326590225 | Mainspring Wellness, LLC | Counselor | 600 Greenup St, Covington, KY 41011-2524 | 2016-10-27 |
| 1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
| 1801252408 | Ashelie Blankenship | Counselor | 19411 Helenbirg Rd, Suite 103, Covington, LA 70433-5199 | 2016-01-12 |
| 1871962753 | Bridget Young | Counselor | 577 Huseman Ln, Covington, LA 70435-0580 | 2015-09-21 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| Find all providers in COVINGTON | ||||
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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.