JOLENE JOLENE DE LA GARDELLE (NPI# 1194835801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194835801 |
| Entity Type | Individual |
| Full Name | JOLENE JOLENE DE LA GARDELLE |
| Credential | MPA, CCVAP |
| Practice Address |
4422 E Columbus Dr Tampa FL 33605 |
| Mailing Address |
4422 E Columbus Dr. Tampa FL 33605 |
| Practice Telephone | 8139840909 |
| Mailing Telephone | 8139840909 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 766798100 | 05 |
| Street Address |
4422 E COLUMBUS DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257917 | Justin Brent Rose | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2020-02-20 |
| 1578194353 | Carmen Delia Rosa | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2020-01-30 |
| 1619514858 | Cliford Cineas | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-12-06 |
| 1124587795 | Maria Josefina Valeri | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-03-13 |
| 1821556523 | Aime Cristina Tejeda De Matos | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-03-12 |
| 1598221293 | David Lieberson | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-02-18 |
| 1366947640 | Cynthia Noemi Aleman | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2018-03-28 |
| 1285135020 | Stacy Putnam | Social Worker | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2018-02-27 |
| 1033610902 | Donetta Patrice Levins | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2018-02-26 |
| 1699276584 | Alicia Lynn Dmochowski | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| 1326597949 | Sunstate Nephrology& Hypertension, LLC | Internal Medicine | 1922 E 4th Ave Ste A, Tampa, FL 33605 | 2016-09-23 |
| 1063836781 | Yetey Enterprises Inc | Assisted Living Facility | 3213 E 11th Ave, Tampa, FL 33605 | 2014-02-17 |
| 1275972903 | Tristin Andrew Zorn | Physical Therapy Assistant | 1803 E 3rd Ave, Tampa, FL 33605 | 2013-06-15 |
| 1184069213 | Jarvis A. Hodges | Counselor | 4422 E. Columbus Dr, Tampa, FL 33605 | 2013-05-02 |
| 1104164268 | Diana Marie Smith-scriven | Social Worker | 4422 East Columbus Drive, Tampa, FL 33605 | 2013-01-24 |
| 1699081943 | Gary L Howell | Psychologist | 2109 E Palm Ave Ste 201, Tampa, FL 33605 | 2010-08-25 |
| 1154555431 | Arthritis Pain Solutions LLC | Durable Medical Equipment & Medical Supplies | 1614 E 14th Ave, Tampa, FL 33605 | 2009-05-14 |
| 1891968715 | Deepa Dasani | Counselor | 4422 E. Columbus Drive, Tampa, FL 33605 | 2008-04-11 |
| 1811016058 | Peter A Gorski | Pediatrics | Children's Board of Hillsborough County, 1002 E. Palm Ave, Tampa, FL 33605 | 2007-03-28 |
| Find all providers in zip 33605 | ||||
| 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 |
|---|---|---|---|---|
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1760943971 | Mario K Lovett Sr. | Counselor | 5135 W Cypress St Ste 103, Tampa, FL 33607-1731 | 2019-03-29 |
| 1184183410 | Rachel Hernandez | Counselor | 6535 Spanish Moss Cir, Tampa, FL 33625-6513 | 2019-03-16 |
| 1861970048 | Guided Path Foundation | Counselor | 2801 W Waters Ave Ste C, Tampa, FL 33614-1866 | 2018-07-31 |
| 1629562095 | Kross Industries | Counselor | 6411 Santa Monica Dr, Tampa, FL 33615-3347 | 2018-06-19 |
| 1215486709 | Marlie Gonzalez | Counselor | 6818 Mitchell Cir, Tampa, FL 33634-2938 | 2016-09-26 |
| 1780138933 | Cynthia Smith | Counselor | 13935 River Willow Pl, Tampa, FL 33637-1010 | 2016-08-04 |
| 1922453406 | Christine Gregory Campos | Counselor | 9225 Bay Plaza Blvd Ste 418, Tampa, FL 33619-4412 | 2016-05-03 |
| 1518311398 | Ireboot, LLC | Counselor | 4511 N Himes Ave Ste 200, Tampa, FL 33614-7085 | 2016-04-19 |
| 1417317686 | Bruno Nze | Counselor | 10354 Carrollwood Ln Apt 197, Tampa, FL 33618-4721 | 2016-03-02 |
| Find all providers in TAMPA | ||||
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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.