JENIFFER KAY ESCLOVON (NPI# 1649510694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649510694 |
| Entity Type | Individual |
| Full Name | JENIFFER KAY ESCLOVON |
| Credential | LPC |
| Practice Address |
3560 Delaware St Suite 502 Beaumont TX 77706-3067 |
| Practice Telephone | 4098994472 |
| Practice Fax Number | 4098999795 |
| Mailing Telephone | 4098994472 |
| Mailing Fax Number | 4098999795 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
14572 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3560 DELAWARE ST SUITE 502 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071915 | Dave S. Carpenter | Dentist | 3560 Delaware St, Ste 1003, Beaumont, TX 77706-3026 | 2005-05-31 |
| 1780234229 | Morgan Mayeux | Pathology | 3560 Delaware St, Beaumont, TX 77706-3067 | 2019-09-17 |
| 1033634514 | Lindsey Kathleen Hullett | Internal Medicine | 3560 Delaware St, Beaumont, TX 77706-3067 | 2017-08-07 |
| 1508392317 | Reeti K Joshi, Md Pa | Internal Medicine | 3560 Delaware St, 301, Beaumont, TX 77706-3067 | 2017-05-11 |
| 1578947438 | Desiree Rice | Counselor | 3560 Delaware St, Suite 1205, Beaumont, TX 77706-3067 | 2015-07-10 |
| 1528482486 | Dexter Simmons | Physical Therapist | 3560 Delaware St, Suite# 301, Beaumont, TX 77706-3067 | 2014-02-13 |
| 1235486036 | Elyse Lynn Brack | Physician Assistant | 3560 Delaware St, Suite 901, Beaumont, TX 77706-3067 | 2012-08-10 |
| 1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
| 1255686226 | Beaumont Smile Center, P.a. | Dentist | 3560 Delaware St, Suite 102, Beaumont, TX 77706-3067 | 2012-07-16 |
| 1033485669 | Morrell Dermatology, P.a. | Dermatology | 3560 Delaware St, Suite 901, Beaumont, TX 77706-3000 | 2012-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516436 | Gregory Mark Adams | Counselor | 3739 N Major Dr, Beaumont, TX 77713-9514 | 2020-07-30 |
| 1467078543 | Danielle Leigh Smith | Counselor | 4810 Ward St, Beaumont, TX 77705-4421 | 2020-06-24 |
| 1801431895 | Michelle Isabel Ocegueda | Counselor | 36644 Bay Hill Dr, Beaumont, CA 92223-8021 | 2019-11-13 |
| 1023677978 | Cassie Michelle Campbell | Counselor | 1661 Milford Way, Beaumont, CA 92223-3237 | 2019-06-12 |
| 1225695190 | Tavia James | Counselor | 7980 Gladys Ave, Beaumont, TX 77706-3188 | 2019-05-25 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1649727652 | Sean Martin | Counselor | 2626 Calder St Ste 204, Beaumont, TX 77702-1926 | 2016-09-07 |
| 1487108551 | Ebonee Munoz | Counselor | 5640 Kingswood Dr, Beaumont, TX 77708-4031 | 2016-08-06 |
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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.