DR. TITI A IPADEOLA (NPI# 1366949968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366949968 |
| Entity Type | Individual |
| Full Name | DR. TITI A IPADEOLA |
| Practice Address |
205 N Main St Jonesboro GA 30236-3224 |
| Mailing Address |
Po Box 1245 Stockbridge GA 30281-8245 |
| Practice Telephone | 7708659118 |
| Mailing Telephone | 7708659118 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
004963 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DRIVER'S LICENSE | 034664765 | 01 |
| Street Address |
205 N MAIN ST |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239360 | Haronepthia C Cameron | Counselor | 102 Lundy Ln, Jonesboro, GA 30238-2132 | 2020-09-14 |
| 1356993356 | New Behavioral Services LLC | Counselor | 216 N Mcdonough St, Jonesboro, GA 30236-3608 | 2019-07-10 |
| 1386107563 | Lashanda Robertson | Counselor | 124 S Main St Ste 2n, Jonesboro, GA 30236-3502 | 2019-04-13 |
| 1467987230 | Sharon Temple | Counselor | 10519 Cedar Knob, Jonesboro, GA 30238-8834 | 2017-04-28 |
| 1497207450 | Felita Bush | Counselor | 124 S Main St Ste 2g, Jonesboro, GA 30236-3502 | 2016-10-25 |
| 1164977583 | Dealva Kernodle | Counselor | 935 County Road 348, Jonesboro, AR 72401-0418 | 2016-08-16 |
| 1013372879 | Cassandra Walker | Counselor | 2617 Dancing Waters Dr, Jonesboro, GA 30236-4051 | 2015-12-22 |
| 1932512621 | Project Real Life Youth Occupational Training Corps, Inc. | Counselor | 6805 Tara Blvd, Jonesboro, GA 30236-1501 | 2014-06-10 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1922443993 | Ruth Wheller | Counselor | 1000 S Caraway Rd Ste 103, Jonesboro, AR 72401-4465 | 2013-05-06 |
| Find all providers in JONESBORO | ||||
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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.