DEEQO M JIBRIL


Address: 85 Munroe St Apt 1, Roxbury, MA 02119-1650
Phone: 6175473616

DEEQO M JIBRIL (NPI# 1407128853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407128853
Entity Type Individual
Full Name DEEQO M JIBRIL
Practice Address 85 Munroe St Apt 1
Roxbury
MA 02119-1650
Practice Telephone 6175473616
Mailing Telephone 6175473616
Enumeration Date 2012-02-01
Last Update Date 2012-02-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 85 MUNROE ST APT 1
City ROXBURY
State MA
Zip Code 02119-1650

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427661644 Christina Kim Hunt Case Manager/Care Coordinator 75 Amory St, Garden Level, Boston, MA 02119 2020-08-27
1962021089 Taha Fathima Khan Student in an Organized Health Care Education/Training Program Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 2020-04-09
1154957132 Katherine Erin Douglas Pediatrics 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 2020-03-21
1720536568 Ramy Y Barrett Counselor 77 Savin Street, Apartment # 3, Boston, MA 02119 2016-09-21
1083089676 Natasha Cruz Counselor 263 Eustis Street, Roxbury, MA 02119 2015-12-08
1922478486 Natalie Jones Counselor 520 Dudley St., Roxbury, MA 02119 2015-09-28
1922484799 Dina Ghaly-habib Student in an Organized Health Care Education/Training Program 100 East Newton St., G-706, Boston, MA 02119 2015-08-04
1942697248 Pyramid Builders Case Management 11 Roxbury Street, Boston, MA 02119 2015-04-24
1063810984 Sophia Smalls Counselor 250 Walnut Ave, Apt. 10, Boston, MA 02119 2014-12-09
1750705059 Alasa Hawkins Counselor 502 Dudley St, Roxbury, MA 02119 2014-02-07
Find all providers in zip 02119

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144693102 Diane Carter Counselor 303 Dudley St Apt 7, 3, Roxbury, MA 02119-2649 2015-11-12
1922478486 Natalie Jones Counselor 520 Dudley St., Roxbury, MA 02119 2015-09-28
1336546977 Alexandra Ravert Counselor 435 Walnut Ave Unit C, Roxbury, MA 02119-3146 2014-11-25
1750705059 Alasa Hawkins Counselor 502 Dudley St, Roxbury, MA 02119 2014-02-07
1952654451 Kristan Walker Counselor 62 Waverly St, Roxbury, MA 02119-2161 2012-10-21
1770835225 Kimberly Marie Diggs Counselor 56 Dimock St, Roxbury, MA 02119-1210 2012-10-09
1043579188 Lornece Donshia Hawkins Counselor 33 Forest St, 2, Roxbury, MA 02119-3301 2012-05-10
1396059622 Venitte Burke Counselor 14 Irwin Ave Apt 3, Roxbury, MA 02119-2174 2010-07-28
1003131780 Theresa Renee Albert-dejesus Counselor 214a Highland St, Roxbury, MA 02119-1444 2010-04-06
1447573951 Dyniker Pena Counselor 30 Dimock St, Roxbury, MA 02119-1210 2010-03-11
Find all providers in ROXBURY

Competitor

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City ROXBURY
Zip Code 02119

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Dataset Information

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.

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