JENNIFER MARY SPADA


Address: 105 Marys Ave, Kingston, NY 12401-5848
Phone: 8453382500

JENNIFER MARY SPADA (NPI# 1215256250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215256250
Entity Type Individual
Full Name JENNIFER MARY SPADA
Credential LMHC
Practice Address 105 Marys Ave
Kingston
NY 12401-5848
Mailing Address 5 Grand St
Kingston
NY 12401-3933
Practice Telephone 8453382500
Practice Fax Number 8453344835
Mailing Telephone 9178857504
Enumeration Date 2010-05-28
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
005108 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5 Grand St, Kingston, NY 124013933 9178857504

Office Location

Street Address 105 MARYS AVE
City KINGSTON
State NY
Zip Code 12401-5848

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598768582 Susan Ruth Hollar Audiologist 105 Marys Ave, Department of Audiology, Kingston, NY 12401-5848 2005-05-23
1699337816 Rachel Lee Bugarin Nurse Practitioner 105 Marys Ave, Kingston, NY 12401-5848 2019-07-08
1417443433 Tara Laine Mainieri Nurse Practitioner 105 Marys Ave, Kingston, NY 12401-5848 2018-07-02
1508387655 Stephen Edward Dunham Sr. Podiatrist 105 Marys Ave, Kingston, NY 12401-5848 2017-06-29
1972037224 Tammy Carlile Social Worker 105 Marys Ave, Kingston, NY 12401-5848 2017-04-13
1700164258 Specialty Fittings, Incorporated Prosthetic/Orthotic Supplier 105 Marys Ave, Kingston, NY 12401-5848 2011-08-02
1013200161 Manpreet Grewal Psychiatry & Neurology 105 Marys Ave, Kingston, NY 12401-5848 2011-05-24
1457680142 Subooha Zafar, Md LLC Internal Medicine 105 Marys Ave, Benedictine Hospital Sleep Lab, Kingston, NY 12401-5848 2009-12-09
1518170356 Stefania Stella Giobbe Pathology 105 Marys Ave, Kingston, NY 12401-5848 2007-05-08
1548311947 Mamie Caton Emergency Medicine 105 Marys Ave, Kingston, NY 12401-5848 2007-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215565783 Health Quest Medical Practice, PC Surgery 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 2020-03-31
1306474879 Health Quest Medical Practice, PC Surgery 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 2020-03-31
1811523384 Health Quest Medcial Practice, PC Podiatrist The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 2020-03-17
1013552181 Health Quest Medical Practice, PC Emergency Medicine 1240 Ulster Avenue, Kingston, NY 12401 2019-11-13
1073156808 Vala Conklin Hearing Instrument Specialist Beltone, 10 Westbrook Lane, Kingston, NY 12401 2019-10-24
1306304860 Laura Juliane Isele Dietitian, Registered 521 Boices Lane Taconic Ddso, Kingston, NY 12401 2019-03-04
1104345107 Shiv Ramlochan Licensed Practical Nurse 1 Family Drive, Kingston, NY 12401 2017-09-12
1346776333 Sara Bockelmann Licensed Practical Nurse 616 Kiersted Ave, Kingston, NY 12401 2017-05-11
1093265472 Janelle Haylett Pathology 121 Rondout Drive, Q, Kingston, NY 12401 2016-10-10
1669830873 Julie Brady Counselor 154 Fair Street #2, Kingston, NY 12401 2016-02-02
Find all providers in zip 12401

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457976441 Donati Counseling, Inc. Counselor 40 Nobadeer Cir, Kingston, MA 02364-3306 2020-06-15
1851924518 Lisa A Mannino Counselor 21 Green St Apt 2, Kingston, NY 12401-4503 2020-02-20
1588131007 Katelyn Gill Counselor 357 W Oreilly St Apt 1308, Kingston, NY 12401-5731 2018-11-02
1902395189 Nancy E Lecuyer Counselor 28 Harvest Dr, Kingston, MA 02364-1823 2018-05-03
1194212670 Shaun Cohen Counselor 79 Saint James St Fl 2, Kingston, NY 12401-4513 2018-04-19
1912420134 Stephanie Kristal Counselor 275 Fair St Ste 30, Kingston, NY 12401-3882 2017-07-19
1447798442 Michael Thacker Counselor 15 Meeks Rd, Kingston, NH 03848-3517 2017-02-09
1487000410 Alexander Drakontaidis Counselor 30 Wilson Ave, Kingston, NY 12401-2110 2016-05-09
1669830873 Julie Brady Counselor 154 Fair Street #2, Kingston, NY 12401 2016-02-02
1841656600 Michele Abdul-qawiy Counselor 486 Youngs Mill Rd, Kingston, GA 30145-1864 2016-01-11
Find all providers in KINGSTON

Competitor

Search similar providers

City KINGSTON
Zip Code 12401

Improve Information

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Dataset Information

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.

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