MR. MARK JAEGER (NPI# 1639421464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639421464 |
| Entity Type | Individual |
| Full Name | MR. MARK JAEGER |
| Credential | LMHC |
| Practice Address |
1417 N Semoran Blvd Ste 201 Orlando FL 32807-3555 |
| Mailing Address |
352 Merrie Oaks Rd Winter Park FL 32792-3525 |
| Practice Telephone | 4077661799 |
| Practice Fax Number | 4076710234 |
| Mailing Telephone | 4077661799 |
| Mailing Fax Number | 4076710234 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH11432 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | MH11432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700160710 | Mark J. Jaeger | Pharmacist | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2011-10-10 |
| Street Address |
1417 N SEMORAN BLVD STE 201 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32807-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205805280 | Joann C Simmons | Counselor | 1417 N Semoran Blvd, Suite 201, Orlando, FL 32807 | 2006-03-14 |
| 1023574381 | Mother Nurture | Counselor | 1417 N Semoran Blvd, Orlando, FL 32807-3555 | 2019-02-12 |
| 1366982993 | Remind Counseling Services | Counselor | 1417 N Semoran Blvd, Suite 201, Orlando, FL 32807-3555 | 2017-03-01 |
| 1285077420 | Express Medical Care | Clinic/Center | 1417 N Semoran Blvd, 106, Orlando, FL 32807-3555 | 2013-04-08 |
| 1962747949 | Doctors'pain Management Associates,llc | Clinic/Center | 1417 N Semoran Blvd, Suite 106, Orlando, FL 32807-3555 | 2012-12-03 |
| 1265704399 | Maria Gattorno | Physical Therapist | 1417 N Semoran Blvd, Suite 106, Orlando, FL 32807 | 2012-02-06 |
| 1770852790 | Lisa Spindle | Social Worker | 1417 N Semoran Blvd, Suite 201, Orlando, FL 32807-3555 | 2011-12-20 |
| 1700177193 | Suellen Fagin-allen | Counselor | 1417 N Semoran Blvd, Suite 201, Orlando, FL 32807-3555 | 2011-04-20 |
| 1053621227 | Ckd Health Care Inc | Clinic/Center | 1417 N Semoran Blvd, 106, Orlando, FL 32807 | 2010-10-20 |
| 1588829162 | Assisting Health Center Inc | Clinic/Center | 1417 N Semoran Blvd, Suite 106, Orlando, FL 32807-3555 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668037 | Javier Urshela | Rehabilitation Counselor | 1150 S Semoran Blvd Suite A, Orlando, FL 32807 | 2019-06-20 |
| 1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
| 1689185233 | Janea Mark | Technician/Technologist | 2242 Gator Drive, 326, Orlando, FL 32807 | 2017-10-22 |
| 1659813863 | Yaritza Joan Mattei Collado | Speech-Language Pathologist | 1136 Farwell, Orlando, FL 32807 | 2016-11-07 |
| 1316495815 | Grimarie Fernandez | Counselor | 1601 N. Goldenrod Rd. Suite 2, A Great Life, Inc, Orlando, FL 32807 | 2016-09-14 |
| 1922473958 | Adam Brett Lowery | Counselor | 1400 Semoran Blvd, Orlando, FL 32807 | 2015-12-02 |
| 1396115093 | Peterson Jean-baptiste | Counselor | 7835 Pine Crossing Circle, Apt. 1027, Orlando, FL 32807 | 2015-10-07 |
| 1396121380 | Sonia Vega | Case Management | 1601 N. Goldenrod Rd., Orlando, FL 32807 | 2015-08-03 |
| 1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
| 1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
| Find all providers in zip 32807 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1972103992 | Nadine Ferguson | Counselor | 5932 Folkstone Ln, Orlando, FL 32822-9417 | 2020-10-28 |
| 1386242592 | Orialis Sosa | Counselor | 1613 Park Lake St, Orlando, FL 32803-4154 | 2020-10-12 |
| 1710584057 | Megan E Hunt | Counselor | 1701 Park Center Dr Ste 202, Orlando, FL 32835-6235 | 2020-10-08 |
| 1134726094 | Jeffrey Harris | Counselor | 2568 Woodgate Blvd Apt 203, Orlando, FL 32822-5881 | 2020-10-05 |
| 1568069540 | Ask Schellie Consulting, LLC | Counselor | 2036 36th St, Orlando, FL 32839-8810 | 2020-10-03 |
| 1992319883 | Taleasha Lintayvia Washington | Counselor | 2012 Cabo San Lucas Dr Apt 208, Orlando, FL 32839-8435 | 2020-09-08 |
| 1053925297 | Morgan Mckee | Counselor | 1510 Lake Baldwin Ln Apt B, Orlando, FL 32814-6676 | 2020-09-04 |
| 1104437854 | Eliana Rina Gershon | Counselor | 6203 Steach Dr, Orlando, FL 32808-5436 | 2020-08-14 |
| 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.