ANNIE JAN (NPI# 1306444302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306444302 |
| Entity Type | Individual |
| Full Name | ANNIE JAN |
| Credential | LMHC |
| Practice Address |
211 Broadway Ste 207 Lynbrook NY 11563-3290 |
| Mailing Address |
7552 183rd St Fresh Meadows NY 11366-1618 |
| Practice Telephone | 5168256567 |
| Mailing Telephone | 9179297806 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
010658 | NY | Behavioral Health & Social Service Providers |
| Street Address |
211 BROADWAY STE 207 |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896997 | Biofeedback, Mental Health Counseling and Creative Arts Therapy, Pllc | Counselor | 211 Broadway Ste 207, Lynbrook, NY 11563-3290 | 2018-03-29 |
| 1205475746 | Kim Elaine Backman | Nurse Practitioner | 211 Broadway Ste 207, Lynbrook, NY 11563-3290 | 2020-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163287 | Bianca Posa | Counselor | 500 Merrick Rd, Lynbrook, NY 11563-2449 | 2020-04-21 |
| 1851896997 | Biofeedback, Mental Health Counseling and Creative Arts Therapy, Pllc | Counselor | 211 Broadway Ste 207, Lynbrook, NY 11563-3290 | 2018-03-29 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1003266081 | Kaitlyn Yale | Counselor | 439 Scranton Ave, Lynbrook, NY 11563-3317 | 2016-06-21 |
| 1326436072 | Angelina Battaglia | Counselor | 213 Hempstead Ave Unit A, Lynbrook, NY 11563-1656 | 2015-01-05 |
| 1477769818 | Richard M Anemone | Counselor | 2 Windsor Pl, Lynbrook, NY 11563-3724 | 2007-05-15 |
| 1518180975 | Priscilla E Neeley | Counselor | 110 Atlantic Ave Apt 52, Lynbrook, NY 11563-3457 | 2007-04-11 |
| 1649341777 | Marie Boo | Counselor | 183 Atlantic Ave Apt 8, Lynbrook, NY 11563-3516 | 2006-11-12 |
| 1336749050 | Jada Lechan Pollock | Counselor | 213 Hempstead Ave, Lynbrook, NY 11563-1656 | 2020-10-30 |
| 1033718721 | Marie A Arlia | Counselor | 213 Hempstead Ave Unit A, Lynbrook, NY 11563-1656 | 2020-10-22 |
| Find all providers in LYNBROOK | ||||
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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.