MRS. JESSICA FREMSON KHAMVONGSA (NPI# 1629276233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629276233 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA FREMSON KHAMVONGSA |
| Credential | ED.S |
| Practice Address |
1390 S Dixie Highway Suite 1305 Coral Gables FL 33146 |
| Mailing Address |
10060 Sw 57th Ct Miami FL 33156-2000 |
| Practice Telephone | 3056622686 |
| Practice Fax Number | 3056689503 |
| Mailing Telephone | 3057102226 |
| Mailing Fax Number | 3056625277 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1390 S DIXIE HIGHWAY SUITE 1305 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625217 | Natalie Davidow | Counselor | 2440 Coral Way Ste 60, Coral Gables, FL 33145-3410 | 2020-09-30 |
| 1124639349 | A&m Mental Health Inc | Counselor | 2655 S Le Jeune Rd Ste 1016, Coral Gables, FL 33134-5803 | 2020-08-11 |
| 1083236343 | Marie Dezelic | Counselor | 2655 S Le Jeune Rd Ste 537, Coral Gables, FL 33134-5832 | 2020-05-10 |
| 1598398547 | Patricia Hernandez | Counselor | 195 Giralda Ave Ste H, Coral Gables, FL 33134-5208 | 2020-02-18 |
| 1942830153 | Lori Maschke | Counselor | 1550 Madruga Ave Ste 334, Coral Gables, FL 33146-3094 | 2020-01-16 |
| 1679112346 | Ucio's Mental Wellness Center Corp | Counselor | 2414 Coral Way Ste 3, Coral Gables, FL 33145-3410 | 2019-12-30 |
| 1962062083 | Mery F Atick | Counselor | 2440 Coral Way Ste 4f, Coral Gables, FL 33145-3410 | 2019-06-20 |
| 1902469067 | Joanne Camille Tan Ongsitco | Counselor | 2440 Coral Way Ste 4s, Coral Gables, FL 33145-3410 | 2019-04-15 |
| 1073070777 | Brighter Hearts Counseling LLC | Counselor | 5246 Sw 8th St Ste 201-c, Coral Gables, FL 33134-2375 | 2019-02-28 |
| 1861956690 | Michelle Turini | Counselor | 300 Granello Ave Apt 1054, Coral Gables, FL 33146-1953 | 2019-01-25 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
Please comment or provide details below to improve the information on MRS. JESSICA FREMSON KHAMVONGSA.
| 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.