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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
85 MUNROE ST APT 1 |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1650 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on DEEQO M JIBRIL.
| 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.