MRS. MARIAN FRANCES KEITH (NPI# 1336451210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336451210 |
Entity Type | Individual |
Full Name | MRS. MARIAN FRANCES KEITH |
Practice Address |
12058 San Jose Blvd Ste 703 Jacksonville FL 32223-8668 |
Practice Telephone | 9042600454 |
Practice Fax Number | 9042600044 |
Mailing Telephone | 9042600454 |
Mailing Fax Number | 9042600044 |
Enumeration Date | 2010-07-08 |
Last Update Date | 2013-09-17 |
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 |
Street Address |
12058 SAN JOSE BLVD STE 703 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32223-8668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386768729 | Nancy Melcolm King | Social Worker | 12058 San Jose Blvd Ste 703, Jacksonville, FL 32223-8668 | 2007-03-19 |
1033651278 | Emily Stefanski | Counselor | 12058 San Jose Blvd Ste 703, Jacksonville, FL 32223 | 2016-11-04 |
1366800492 | Dawn Thomas | Massage Therapist | 12058 San Jose Blvd Ste 703, Jacksonville, FL 32223-8668 | 2016-02-03 |
1750758603 | Tanya Rigg | Counselor | 12058 San Jose Blvd Ste 703, Jacksonville, FL 32223-8668 | 2015-08-26 |
1326436981 | Justin Tyler Bollingmo | Marriage & Family Therapist | 12058 San Jose Blvd Ste 703, Jacksonville, FL 32223-8668 | 2015-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
Find all providers in zip 32223 |
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 |
---|---|---|---|---|
1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32223 |
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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.