MITZIE JAZMIN BAEZ (NPI# 1376003319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376003319 |
| Entity Type | Individual |
| Full Name | MITZIE JAZMIN BAEZ |
| Credential | MA, LMFT, CCTP |
| Practice Address |
15 S 9th St Lebanon PA 17042-5104 |
| Mailing Address |
410 N Prince St Lancaster PA 17603-3010 |
| Practice Telephone | 7172735992 |
| Practice Fax Number | 7172735995 |
| Mailing Telephone | 7175607919 |
| Mailing Fax Number | 7175606452 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF001056 | PA | Behavioral Health & Social Service Providers |
| Street Address |
15 S 9TH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1780218008 | Dana Gil | Behavioral Analyst | 15 S 9th St, Lebanon, PA 17042-5104 | 2020-02-25 |
| 1063045185 | Catharine Morales | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2020-02-17 |
| 1114563848 | Ruth A Snyder | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-11-18 |
| 1730647561 | Jacqueline Anne Hornickell | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-03-11 |
| 1912489550 | Qiana Devani Hill | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2018-08-30 |
| 1336657592 | Kyra Roof | Licensed Practical Nurse | 15 S 9th St, Lebanon, PA 17042-5104 | 2018-01-22 |
| 1073041521 | Erin Callihan | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2017-05-29 |
| 1336699503 | Kim Elaine Miller | Counselor | 15 S 9th St, Lebanon, PA 17042-5104 | 2016-10-11 |
| 1548629876 | Angela M Keller | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376051771 | Kelly Lee Ozelski | Marriage & Family Therapist | 752 Willow St, Lebanon, PA 17046-5066 | 2018-01-19 |
| 1326590142 | Natalie Andrews | Marriage & Family Therapist | 767 Columbus Ave Ste 2, Lebanon, OH 45036-1749 | 2016-10-27 |
| 1316393424 | Alice Stricklin | Marriage & Family Therapist | 110 Dawson Ln, Lebanon, TN 37087-3304 | 2016-05-06 |
| 1396123774 | Selma A Sisco | Marriage & Family Therapist | 3 Country Hill Rd, Lebanon, NJ 08833-3022 | 2015-05-18 |
| 1497156186 | River of Hope | Marriage & Family Therapist | 100 Forney Rd, Lebanon, PA 17042-9344 | 2014-09-12 |
| 1154768729 | Jessica Buckley Mccoy | Marriage & Family Therapist | 207 Oakdale Dr, Lebanon, TN 37087-2031 | 2013-05-22 |
| 1508465949 | Annita Michelle Coburn | Marriage & Family Therapist | 610 N. Lebanon St., Lebanon, IN 46052-1716 | 2020-10-17 |
| 1972115475 | Susan Davis | Marriage & Family Therapist | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-08-18 |
| 1245849413 | Kelly Ozelski LLC | Marriage & Family Therapist | 160 S 22nd St, Lebanon, PA 17042-2559 | 2020-07-23 |
| 1548806417 | Juliette Elizabeth Mcdaniel | Marriage & Family Therapist | 1600 W Main St, Lebanon, IN 46052-2388 | 2019-11-26 |
| Find all providers in LEBANON | ||||
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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.