CRYSTAL ROSE ROGERS (NPI# 1437603081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437603081 |
| Entity Type | Individual |
| Full Name | CRYSTAL ROSE ROGERS |
| Practice Address |
170 Maywood Ave Nw Palm Bay FL 32907-2967 |
| Practice Telephone | 3219874546 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
FL | Behavioral Health & Social Service Providers |
| Street Address |
170 MAYWOOD AVE NW |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618701 | Jodie Renee Rostas | Counselor | 960 Fulton Ln Ne, Palm Bay, FL 32905-5517 | 2020-08-05 |
| 1831716687 | Leslie Sikaffy | Counselor | 281 Clearbrook Ter Ne, Palm Bay, FL 32907-5579 | 2020-06-28 |
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1073144648 | Angela Marie Taylor | Counselor | 154 Mayfair St Se, Palm Bay, FL 32909-4359 | 2020-01-31 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1356884167 | Rachel Clemons | Counselor | 2550 Palm Bay Rd Ne Ste 212, Palm Bay, FL 32905-3566 | 2016-11-28 |
| 1700328077 | Leon Bell | Counselor | 1939 Jupiter Blvd Sw, Palm Bay, FL 32908-3330 | 2016-11-17 |
| 1922557875 | Carolyn Calloway Jennings | Counselor | 126 Billiar Ave Ne, Palm Bay, FL 32907-5562 | 2016-10-03 |
| 1760844807 | Tamara Harris | Counselor | 251 Medea Ave Nw, Palm Bay, FL 32907-2920 | 2016-03-28 |
| 1518329226 | Odessa Phillips | Counselor | 1722 Malabar Lakes Dr Ne, Palm Bay, FL 32905-4472 | 2016-03-22 |
| Find all providers in PALM BAY | ||||
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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.