DAVID AF RAYNOLDS (NPI# 1619998010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619998010 |
| Entity Type | Individual |
| Full Name | DAVID AF RAYNOLDS |
| Other Name | NANDO RAYNOLDS |
| Credential | MA, LPC |
| Practice Address |
600 Siskiyou Blvd Ashland OR 97520-2140 |
| Mailing Address |
Po Box 503010 White City OR 97503-0813 |
| Practice Telephone | 5418216623 |
| Practice Fax Number | 5415351778 |
| Mailing Telephone | 5419417792 |
| Mailing Fax Number | 5034194662 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C0943 | OR | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | C0943 | OR | Behavioral Health & Social Service Providers |
| Street Address |
600 SISKIYOU BLVD |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567264 | Richard Drew Snyder | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2020-08-06 |
| 1275091571 | Craig Blackard | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2019-03-05 |
| 1831607274 | Gaia Layser | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2018-01-19 |
| 1487160651 | Jennifer Matsuura | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2017-12-23 |
| 1396299285 | Kalia Feldman-klein | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520 | 2016-08-08 |
| 1497115067 | Michael Jerome Rhoades | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2016-02-25 |
| 1619363223 | Community Counseling Center of Ashland | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2015-04-09 |
| 1275937021 | Elycia Bechard Psychotherapy LLC | Preferred Provider Organization | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2014-10-22 |
| 1720304504 | Jose Luis Garcia-gomez | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2010-04-19 |
| 1295981355 | Graham Edwards Collins | Counselor | 600 Siskiyou Blvd, Ashland, OR 97520-2140 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1144871070 | Pamela Cancel | Counselor | 1000 Benson Way Ste 204, Ashland, OR 97520-9564 | 2019-09-23 |
| 1811554280 | Jennifer J Tucker | Counselor | 502 Main St W Ste 306, Ashland, WI 54806-1579 | 2019-05-21 |
| 1093202186 | Carolyn Ligon Palmore | Counselor | 201 N Washington Hwy Ste 201, Ashland, VA 23005 | 2018-04-16 |
| 1902319577 | Alison Lee Nightingale | Counselor | 1135 Old Highway 99 S, Ashland, OR 97520-9719 | 2017-11-06 |
| 1396284394 | William Brian Cook | Counselor | 1212 Bath Ave, 8th Floor, Ashland, KY 41101-5422 | 2017-02-23 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1760939011 | Elizabeth Diane Hocker | Counselor | 203 Johnson Ct, Ashland, MO 65010-9473 | 2016-09-03 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| 1598120495 | David Zachary Porter | Counselor | 3728 Peachtree Rd, Ashland, KY 41102 | 2015-12-18 |
| Find all providers in ASHLAND | ||||
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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.