MS. KARA JILLIAN SHERIDAN (NPI# 1386969335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386969335 |
| Entity Type | Individual |
| Full Name | MS. KARA JILLIAN SHERIDAN |
| Credential | LMHC |
| Practice Address |
58 Dorset St Boston MA 02125 |
| Mailing Address |
20 Central Ave Lynn MA 01901-1201 |
| Practice Telephone | 5082548881 |
| Mailing Telephone | 7817156291 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000009498 | MA | Behavioral Health & Social Service Providers |
| N | 222Q00000X | Developmental Therapist | S44440734 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
58 DORSET ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| 1588734297 | Omar L Ghoneim | Dentist | 250 Mount Vernon Street, Dorchester, MA 02125 | 2006-11-09 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019800 | Anabel Rohrer | Counselor | 189 Princeton St Apt 1, Boston, MA 02128-3517 | 2020-10-05 |
| 1174138499 | Rachel Theresa Feddor | Counselor | 1970 Commonwealth Ave Apt 48, Boston, MA 02135-5820 | 2020-09-14 |
| 1356953673 | Colleen Murray | Counselor | 45 Montcalm Ave, Boston, MA 02135-2839 | 2020-08-18 |
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1134737240 | Jeandrilie Font-llorens | Counselor | 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 | 2020-07-15 |
| 1255959524 | Discover Healing Therapy LLC | Counselor | 185 Devonshire St Ste 501, Boston, MA 02110-1415 | 2020-07-13 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1013537992 | James Jeffrey Yelinek Jr. | Counselor | 80 Fenwood Rd Unit 614, Boston, MA 02115-6148 | 2020-04-21 |
| 1952944290 | Chabreah Alston | Counselor | 23 Cameron St Apt 3, Boston, MA 02125-4463 | 2019-10-18 |
| 1720620271 | Cheryl Pamela Lewis | Counselor | 155 Northampton St Apt 408, Boston, MA 02118-1845 | 2019-10-16 |
| Find all providers in BOSTON | ||||
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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.