ALIS AFRICANO (NPI# 1225383839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225383839 |
| Entity Type | Individual |
| Full Name | ALIS AFRICANO |
| Credential | LCPC |
| Practice Address |
604 Solarex Ct Unit 201 Frederick MD 21703-8655 |
| Practice Telephone | 3016638263 |
| Practice Fax Number | 3016825326 |
| Mailing Telephone | 3016638263 |
| Mailing Fax Number | 3016825326 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC3303 | MD | Behavioral Health & Social Service Providers |
| Street Address |
604 SOLAREX CT UNIT 201 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-8655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376552513 | Amy Jo Dove | Counselor | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2006-08-05 |
| 1477153724 | Supriya Karray | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2020-10-27 |
| 1477152692 | Carla Hernandez | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2020-10-19 |
| 1568080190 | Nicole K. Nakagama | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2020-07-09 |
| 1477197424 | Jaclyn Blaire Daugherty | Nurse Practitioner | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2019-11-03 |
| 1457902710 | Matthew Jamal Thomas | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2019-09-26 |
| 1124688205 | Hillary F. Mallette | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2019-06-19 |
| 1760048797 | Allison L. Davis | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2019-05-15 |
| 1215593504 | Christopher R. Carr | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2019-05-13 |
| 1417511684 | Michael E. Comas | Social Worker | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169548 | Bradley Shearer | Counselor | 6087 Flagstone Ct, Frederick, MD 21701-5847 | 2020-09-23 |
| 1144853847 | Caroline Carey | Counselor | 6540 Newton Dr, Frederick, MD 21703-2747 | 2020-02-20 |
| 1093377525 | James Robert Rose | Counselor | 31 W Patrick St Apt 401, Frederick, MD 21701-5563 | 2019-07-04 |
| 1679059562 | David Sherwin | Counselor | 205 Broadway St Fl 2, Frederick, MD 21701-6501 | 2018-07-14 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1851828826 | Christina L Poff-long | Counselor | 1003 W 7th St Ste 200, Frederick, MD 21701-4106 | 2017-05-21 |
| 1215461397 | Carter Caring Counseling | Counselor | 721 Holden Rd, Frederick, MD 21701-3406 | 2017-04-17 |
| 1184165904 | Frederick Center for Marriage and Family Therapy, LLC | Counselor | 129 E Patrick St # 25, Frederick, MD 21701-6172 | 2017-03-13 |
| 1073052593 | Nicole Lynn Simpson | Counselor | 5479 Shoshone Dr, Frederick, CO 80504-5815 | 2017-02-16 |
| 1578016473 | Jennifer Tibbs | Counselor | 6721 Sandpiper Ct, Frederick, MD 21703-7178 | 2016-07-27 |
| Find all providers in FREDERICK | ||||
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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.