MR. MARK M. JAMERSON (NPI# 1366869828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366869828 |
Entity Type | Individual |
Full Name | MR. MARK M. JAMERSON |
Practice Address |
9612 English Oak Dr Indianapolis IN 46235-1100 |
Practice Telephone | 3175237508 |
Mailing Telephone | 3175237508 |
Enumeration Date | 2014-03-23 |
Last Update Date | 2014-03-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YS0200X |
Counselor Specialization: School |
1054108 | IN | Behavioral Health & Social Service Providers |
Street Address |
9612 ENGLISH OAK DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46235-1100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598313769 | Patricia Woodfaulk | Student in an Organized Health Care Education/Training Program | 4660 Birmingham Drive, Indianapolis, IN 46235 | 2019-08-30 |
1447743794 | Pamela Zirkle | Counselor | 4126 E. 10th St., Indianapolis, IN 46235 | 2018-06-12 |
1619467560 | Ronkisha L Russell | Behavior Technician | 9905 Fallcreek Rd, Indianapolis, IN 46235 | 2018-05-16 |
1386134690 | Kaitlin Abigail Waltz | Behavior Technician | 9905 Fall Creek Rd., Indianapolis, IN 46235 | 2018-05-11 |
1386132546 | Alexis Halpen | Behavior Technician | Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 | 2018-04-24 |
1881712719 | Georgia Marie Brooks | Registered Nurse | 4065 Congaree Drive, Indianapolis, IN 46235 | 2007-03-27 |
1417042003 | The Health and Hospital Corporation of Marion County | Pharmacy | 9443 E 38th St, Indianapolis, IN 46235 | 2006-10-03 |
1679981476 | Sylvester Carr Jr. | Counselor | 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 | 2014-07-25 |
1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
1538405501 | Kavin Darnell Hudson | Driver | 3912 Delmont Dr, Indianapolis, IN 46235-1642 | 2012-12-19 |
Find all providers in zip 46235 |
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 |
---|---|---|---|---|
1366068181 | Vashni Ray | Counselor | 4346 Wild Turkey Dr, Indianapolis, IN 46239-8104 | 2020-06-17 |
1285250043 | Lajuan Brown | Counselor | 8752 Malaga Dr Apt 2b, Indianapolis, IN 46250-3297 | 2020-06-17 |
1518590132 | Kathryn Sullivan Evans | Counselor | 8126 Meadowbrook Dr, Indianapolis, IN 46240-2600 | 2020-02-21 |
1912530361 | Infinite Shield, LLC | Counselor | 5726 Michigan Rd, Indianapolis, IN 46228-1729 | 2020-02-13 |
1669002945 | Indiana Guide Right Foundation, Inc. | Counselor | 3540 Commercial Dr, Indianapolis, IN 46222-1678 | 2020-01-25 |
1881245603 | Mary Salem Gregory | Counselor | 1405 Wind Castle Trl, Indianapolis, IN 46280-2726 | 2019-09-23 |
1346700945 | Lindsay Kusy | Counselor | 1602 Guildhall Ct, Indianapolis, IN 46260-1562 | 2019-03-21 |
1679044531 | Denise Kasandra Hardin | Counselor | 5699 E 71st St Ste 4a, Indianapolis, IN 46220-3968 | 2018-12-17 |
1134604853 | Sarah M Lehman | Counselor | 1138 N Rochester Ave, Indianapolis, IN 46222-2943 | 2018-09-27 |
1629553516 | Brettany Ervin | Counselor | 115 N Pennsylvania St Unit 401, Indianapolis, IN 46204-2418 | 2018-09-26 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46235 |
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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.