ALICIA SARA JONES GORMAN (NPI# 1174911614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174911614 |
| Entity Type | Individual |
| Full Name | ALICIA SARA JONES GORMAN |
| Credential | LMHC |
| Practice Address |
31 Sixth Street Malone NY 12953-1228 |
| Mailing Address |
31 Sixth Street Malone NY 12953 |
| Practice Telephone | 5184833261 |
| Mailing Telephone | 5184833261 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007560-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
31 SIXTH STREET |
| City | MALONE |
| State | NY |
| Zip Code | 12953-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235204504 | Jamey Marie Hill | Counselor | 31 Sixth Street, Citizen Advocates Inc., Malone, NY 12953 | 2006-11-22 |
| 1689205726 | Sheila Ann Labombard | Case Manager/Care Coordinator | 31 Sixth Street, Malone, NY 12953 | 2020-01-28 |
| 1730663915 | Alexandria Stepnoski | Student in an Organized Health Care Education/Training Program | 31 Sixth Street, Malone, NY 12953 | 2018-09-24 |
| 1316425473 | Julya Rose Conaway | Licensed Practical Nurse | 31 Sixth Street, Malone, NY 12953 | 2018-08-01 |
| 1912491820 | Ashley Nadean Clover | Counselor | 31 Sixth Street, Malone, NY 12983 | 2018-06-15 |
| 1316457898 | Craig Mark Perry | Peer Specialist | 31 Sixth Street, Malone, NY 12953 | 2017-10-10 |
| 1376972232 | Emily Gokey | Counselor | 31 Sixth Street, Malone, NY 12953 | 2013-11-01 |
| 1922445725 | Ryann Hunt-bila | Counselor | 31 Sixth Street, Malone, NY 12953-1228 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431931 | Adriana Lara | Counselor | Po Box 608, Malone, NY 12953-0608 | 2017-08-02 |
| 1093837981 | Constance M Vitale | Counselor | 57 Rennie St, Malone, NY 12953-1138 | 2007-04-04 |
| 1235204504 | Jamey Marie Hill | Counselor | 31 Sixth Street, Citizen Advocates Inc., Malone, NY 12953 | 2006-11-22 |
| 1235209297 | George S. Baker | Counselor | 209 Park St., Citizen Advocates, Inc., Malone, NY 12953 | 2006-11-08 |
| 1982717203 | Stacy Danielle Jones | Counselor | 209 Park Street, Malone, NY 12953 | 2006-08-17 |
| 1598379273 | Gabrielle Yeager | Counselor | 31 6th St, Malone, NY 12953-1246 | 2020-09-01 |
| 1013574847 | Kristen Meek | Counselor | 31 6th St, Malone, NY 12953-1246 | 2019-05-28 |
| 1639642267 | Nathalie Simprevil | Counselor | 15 4th St, Malone, NY 12953-1340 | 2019-01-07 |
| 1912491820 | Ashley Nadean Clover | Counselor | 31 Sixth Street, Malone, NY 12983 | 2018-06-15 |
| 1568976256 | Gloria Tolongo | Counselor | 31 6th St, Malone, NY 12953-1246 | 2017-11-17 |
| Find all providers in MALONE | ||||
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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.