KEEP A KID ON TRACK (NPI# 1568964039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568964039 |
| Entity Type | Organization |
| Organization Name | KEEP A KID ON TRACK |
| Practice Address |
623 Pine Hill Road Orlando FL 32808 |
| Mailing Address |
2425 Flower Coral Dr. Suite 300 Orlando FL 32808 |
| Practice Telephone | 3057886269 |
| Mailing Telephone | 3057886269 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MR. WILLIAM M CLARK JR. (PRESIDENT) |
| Authorized Official Telephone | 3057886269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
623 PINE HILL ROAD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| 1598201998 | Prime Radiology of Pine Hills, Inc | Radiology | 828 Mercy Drive, Suite 4, Orlando, FL 32808 | 2017-01-10 |
| Find all providers in zip 32808 | ||||
| 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 |
|---|---|---|---|---|
| 1336753789 | Marite Martinez | Counselor | 2119 Lake Christie Dr, Orlando, FL 32809-7960 | 2020-09-02 |
| 1033758735 | Sylvia V. Ramos Perez | Counselor | 5000 Catspaw Ct, Orlando, FL 32808-5961 | 2019-12-27 |
| 1689212904 | Chad Brown | Counselor | 942 Coquina Rock St, Orlando, FL 32828-7099 | 2019-12-17 |
| 1396381455 | Latasha Quenshay Ursin | Counselor | 1277 N Semoran Blvd Ste 117, Orlando, FL 32807-3574 | 2019-11-25 |
| 1891346094 | Katrina Lynn Alfonso | Counselor | 4440 Medallion Dr Apt 817, Orlando, FL 32808-1165 | 2019-09-27 |
| 1962065748 | Alexandra Nicole Morales | Counselor | 7401 Kalani St, Orlando, FL 32822-5602 | 2019-04-17 |
| 1205397825 | Shannon Folsom | Counselor | 3741 Lasson Ct, Orlando, FL 32835-2669 | 2019-03-27 |
| 1043778244 | Tanya S Doyle | Counselor | 12890 S John Young Pkwy, Orlando, FL 32837-3400 | 2019-03-06 |
| 1437616521 | Brooke Parker | Counselor | 100 W. Columbia St., Orlando, FL 32806-1006 | 2019-02-25 |
| 1184107534 | Healing & Beyond Health Services | Counselor | 111 N Orange Ave Ste 829, Orlando, FL 32801-2316 | 2018-09-12 |
| Find all providers in ORLANDO | ||||
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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.