TIANA J MITCHELL (NPI# 1619580362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619580362 |
Entity Type | Individual |
Full Name | TIANA J MITCHELL |
Practice Address |
153 Hazard Ave Enfield CT 06082-4592 |
Mailing Address |
2 Waterside Xing Ste 401 Windsor CT 06095-1588 |
Practice Telephone | 8602535020 |
Mailing Telephone | 8607315522 |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235609421 | Tiana Denae Mitchell | Case Manager/Care Coordinator | 420 E 43rd St, Lorain, OH 44052-5476 | 2018-11-29 |
Street Address |
153 HAZARD AVE |
City | ENFIELD |
State | CT |
Zip Code | 06082-4592 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326047960 | Kathy Smith | Social Worker | 153 Hazard Ave, Enfield, CT 06082-4592 | 2005-07-15 |
1881295236 | Travis Cooley | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-11-03 |
1821603879 | Alexandria E Casertano | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-09-15 |
1811500564 | Olivia D Pace | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
1629681374 | Sarah Martino-kelley | Registered Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
1528670379 | Catherine Parsons | Licensed Practical Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-21 |
1548872799 | Jessica Lewis | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-19 |
1073122859 | Blake Barrows | Licensed Practical Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-07-28 |
1861000697 | Julie Handleman | Registered Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-07-17 |
1427672641 | Shanika Mckoy | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-06-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
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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 |
---|---|---|---|---|
1194388504 | Lakeesha Jackson | Counselor | 153 Hazard Ave Ste 401, Enfield, CT 06082-4592 | 2019-04-22 |
1861936981 | Elizabeth Culhane | Counselor | 153 Hazard Ave Ste 204, Enfield, CT 06082-4592 | 2016-12-08 |
1972055374 | Natalie Patricia Conley | Counselor | 4 William Street Ext, Enfield, CT 06082-2926 | 2016-11-01 |
1881295236 | Travis Cooley | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-11-03 |
1821603879 | Alexandria E Casertano | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-09-15 |
1811500564 | Olivia D Pace | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
1548872799 | Jessica Lewis | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-19 |
1427672641 | Shanika Mckoy | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-06-03 |
1720613524 | Juliet Davis | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-03-12 |
1255966628 | Kewanda Lanham | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-03-06 |
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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.