JEREMY MICHAEL MCKINNEY


Address: 29520 Canvasback Dr, Easton, MD 21601-7124
Phone: 4108225007

JEREMY MICHAEL MCKINNEY (NPI# 1326499690) 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) 1326499690
Entity Type Individual
Full Name JEREMY MICHAEL MCKINNEY
Credential MA
Practice Address 29520 Canvasback Dr
Easton
MD 21601-7124
Mailing Address 2336 Goddard Pkwy
Salisbury
MD 21801-1126
Practice Telephone 4108225007
Mailing Telephone 4103346961
Mailing Fax Number 4103346362
Enumeration Date 2016-06-28
Last Update Date 2016-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 609500301 05

Other Providers JEREMY MCKINNEY

NPI Name Taxonomy Address Enumeration
1245753615 Jeremy Mckinney Licensed Practical Nurse 5251 13th St Sw Apt 204, Canton, OH 44710-1055 2017-07-18
1285841049 Jeremy R. Mckinney Dentist 401 Towncenter Blvd Ste A, Tuscaloosa, AL 35406-1822 2007-05-17

Office Location

Street Address 29520 CANVASBACK DR
City EASTON
State MD
Zip Code 21601-7124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649239948 George Wright Rever Psychiatry & Neurology 29520 Canvasback Dr, Easton, MD 21601-7124 2006-03-23
1801425129 Stephanie Boley Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2020-04-07
1053951004 Aisha Hassan-davis Nurse Practitioner 29520 Canvasback Dr, Easton, MD 21601-7124 2020-01-07
1366922080 Misty Ann Miller Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2018-08-21
1740708197 Joseph B Cox Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2017-09-06
1356867907 Peter Jude Buesgens Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2017-08-16
1619424686 Sierra Alexa Monturoi Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2016-09-07
1144774068 Susan Halliwell Knade Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2016-08-09
1457704595 Randi Marie Melton Counselor 29520 Canvasback Dr, Easton, MD 21601-7124 2016-07-13
1982054623 Maria La'frice Daniels Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2016-06-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588205215 Jodi Windsor Kindt Nurse Practitioner Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 2019-10-03
1902466998 Christina Deleon Physician Assistant 403 Marvel Court, Easton, MD 21601 2019-06-20
1710458583 Patricia Vilani Occupational Therapy Assistant 12 Magnolia, Easton, MD 21601 2018-12-05
1538687702 Kristin Dabbs Wilkerson Counselor 29520 Canvasback Drive, Easton, MD 21601 2017-09-07
1356869978 Angela Lynn Rutherford Physical Therapy Assistant 610 Dutchman's Ln, Easton, MD 21601 2017-09-04
1851842389 Myeyedr Optometry of Maryland, LLC Optometrist 28522 Marlboro Ave, Ste A, Easton, MD 21601 2016-10-19
1659721991 Lauren Strady Pediatrics 500 Cadmus Ln Ste 210, Easton, MD 21601 2016-06-17
1194174391 Statcare Group IIi, PC Clinic/Center 28522-c Marlboro Avenue, Easton, MD 21601 2016-06-08
1245684224 Christina M Ball Nurse Practitioner 545 Cynwood Drive, Easton, MD 21601 2016-04-15
1205220274 Rebecca Ann Ruby Ailstock Midwife 508 Idlewild Ave Ste 3, Easton, MD 21601 2015-03-26
Find all providers in zip 21601

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568098390 Beth Peters Counselor 1101 Northampton St Ste 201, Easton, PA 18042-4152 2020-03-12
1538687702 Kristin Dabbs Wilkerson Counselor 29520 Canvasback Drive, Easton, MD 21601 2017-09-07
1275078180 Felicia Moore Counselor 1733 Washington Blvd Ste 108, Easton, PA 18042 2017-01-01
1124563127 Tara Marie George Counselor 1101 Northampton St #201, Pinebrook Family Answers, Easton, PA 18042 2016-12-29
1275950008 Janelle Potts Counselor 3701 Corriere Rd Ste 10, Easton, PA 18045-7991 2014-03-18
1952733891 Karen O'brien-maynard Counselor 340 Paxinosa Rd W, Easton, PA 18040-1322 2013-08-02
1558612010 Jessica Hart Bass Counselor 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 2012-09-25
1730459124 Lily Bay LLC Counselor 15 Weiss Ave, Easton, PA 18042 2012-01-03
1134354913 David Rosario-torres Counselor 29516 Canvasback Dr Ste 200, Easton, MD 21601-7140 2009-05-21
1932224565 Karen Marie Rumore Counselor 4049 Hartley Ave, Easton, PA 18045-3790 2007-03-20
Find all providers in EASTON

Competitor

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City EASTON
Zip Code 21601

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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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