JOANN BOARDS (NPI# 1255455796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255455796 |
| Entity Type | Individual |
| Full Name | JOANN BOARDS |
| Practice Address |
675 N Matthews Rd Lake City SC 29560-7027 |
| Mailing Address |
125 E Cheves St Florence SC 29506-2526 |
| Practice Telephone | 8433947419 |
| Practice Fax Number | 8436614892 |
| Mailing Telephone | 8433174089 |
| Mailing Fax Number | 8433174096 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| 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 |
|---|---|---|---|
| SC | 376241 | 05 |
| Street Address |
675 N MATTHEWS RD |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-7027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861525669 | Lavon Tosha Cain | Counselor | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-13 |
| 1285147124 | Latoria Blake | Counselor | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2017-11-14 |
| 1457703332 | Jameel Pearson | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2016-07-05 |
| 1730585779 | Regina Knight | Counselor | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2014-11-18 |
| 1043636046 | Pee Dee Mental Health | Clinic/Center | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2014-03-14 |
| 1770927386 | Linda Teresa Jackosn | Counselor | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2013-04-25 |
| 1699894113 | Harriet Annette Rose | Counselor | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-28 |
| 1942328471 | Gordon P. Mackenzie | Counselor | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-26 |
| 1174641666 | Pee Dee Mental Health Center | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-26 |
| 1578689303 | Tiffaney Medina Brown | Counselor | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| 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 |
|---|---|---|---|---|
| 1598366171 | Neurodiverse Ability Services LLC | Counselor | 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 | 2020-11-02 |
| 1538715016 | Vanessa George | Counselor | 930 Ne Joe Coney Ter, Lake City, FL 32055-1636 | 2019-08-12 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1811399439 | Michael Ortiz | Counselor | 311 Se Mill Creek Ct, Lake City, FL 32025-3912 | 2014-09-25 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| 1730426347 | Jesenia Minniefield | Counselor | 136 Nw Veterans St, Lake City, FL 32055-3900 | 2013-01-16 |
| 1780957050 | Daphne O Cunningham | Counselor | 922 Sw Baya Dr, Lake City, FL 32025-4209 | 2012-02-17 |
| 1841585874 | Vadonna Benson Bartell | Counselor | 711 Bartells Rd, Lake City, SC 29560-7564 | 2011-06-17 |
| 1417100140 | Resolutions Health Alliance, P.a. | Counselor | 297 Nw Hillsboro St, Lake City, FL 32055-3320 | 2008-10-28 |
| 1093974164 | Robert Reynierson | Counselor | 439 Sw Michigan Street, Lake City, FL 32025-0440 | 2008-06-04 |
| Find all providers in LAKE CITY | ||||
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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.