MS. JENNIFER MELISSA VASQUEZ


Address: 4024 Central Ave, St Petersburg, FL 33711-1239
Phone: 7273277656

MS. JENNIFER MELISSA VASQUEZ (NPI# 1669029575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669029575
Entity Type Individual
Full Name MS. JENNIFER MELISSA VASQUEZ
Practice Address 4024 Central Ave
St Petersburg
FL 33711-1239
Mailing Address Po Box 10970
St Petersburg
FL 33733-0970
Practice Telephone 7273277656
Practice Fax Number 7273222110
Mailing Telephone 7273277656
Mailing Fax Number 7273222110
Enumeration Date 2019-08-26
Last Update Date 2019-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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1861059255 Jennifer Vasquez Behavior Technician 111 E 80th St, Los Angeles, CA 90003-2509 2019-05-22
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Office Location

Street Address 4024 CENTRAL AVE
City ST PETERSBURG
State FL
Zip Code 33711-1239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659371763 Suncoast Center, Inc. Clinic/Center 4024 Central Ave, St Petersburg, FL 33711-1239 2005-07-29
1790384709 Tracy Reenae Hardaway Counselor 4024 Central Ave, St Petersburg, FL 33711-1239 2020-10-21
1154928877 Tyler Ray-baker Counselor 4024 Central Ave, St Petersburg, FL 33711-1239 2020-10-06
1720694565 Meghan Reese Counselor 4024 Central Ave, St Petersburg, FL 33711-1239 2020-09-17
1720691595 Georgette Franklin Case Manager/Care Coordinator 4024 Central Ave, St Petersburg, FL 33711-1239 2020-08-31
1518570381 Stephanie Ganoe Counselor 4024 Central Ave, St Petersburg, FL 33711-1239 2020-08-31
1679181655 April Irwin Counselor 4024 Central Ave, St Petersburg, FL 33711-1239 2020-07-16
1497373757 Mishania Jenkins Case Manager/Care Coordinator 4024 Central Ave, St Petersburg, FL 33711-1239 2020-07-13
1154945632 Kenneth Westerfield Behavioral Analyst 4024 Central Ave, St Petersburg, FL 33711-1239 2020-06-01
1235753674 Kathryn Ann Pinkston Registered Nurse 4024 Central Ave, St Petersburg, FL 33711-1239 2020-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639665110 Armando Alvarez Gonzalez Nurse Practitioner 3404 26th Ave S, St Petersburg, FL 33711 2018-07-08
1508398843 S&r Cares LLC Preferred Provider Organization 4201 4th Avenue South Street, St Petersburg, FL 33711 2017-03-28
1245691062 Brian Paulson Counselor 4024 Central Ave # 1239, Saint Petersburg, FL 33711 2016-03-08
1871966069 Kelly Jean Plant Home Health Aide 3611 3rd Ave South, St Petersburg, FL 33711 2015-11-10
1750784815 Honor Investments LLC Community/Behavioral Health 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 2014-10-03
1063771947 Vincent Ford Physical Therapy Assistant 3479 22nd Avenue, St.petersburg, FL 33711 2012-05-11
1568758571 Ashley Lauren Taliaferro Physical Therapist 5042 42nd St S, Saint Petersburg, FL 33711 2011-06-28
1801180187 Karen Lynn Wilcox Massage Therapist 2026 44th Street S, Saint Petersburg, FL 33711 2011-06-04
1881998722 Martha L Allen Assisted Living Facility 1860 46 Street South, St. Petersburg, FL 33711 2011-01-07
1760519052 Scg Palazzo Operator, LLC Assisted Living Facility 3600 34th St South, St Augustine, FL 33711 2007-02-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770423 Nickole Marguerite Wyse Counselor 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 2020-11-06
1598364747 Sara Spiess Counselor 447 3rd Ave N Ste 204, St Petersburg, FL 33701-3245 2020-10-20
1669096400 Bjorn Nagle Counselor 111 2nd Ave Ne Ste 1007, St Petersburg, FL 33701-3442 2020-06-06
1225658180 Holly A Henderson Counselor 600 40th St N Apt 208, St Petersburg, FL 33713-6340 2020-04-21
1225657174 Meaghan Campbell Counselor 749 Jasmine Way S, St Petersburg, FL 33705-4744 2020-04-10
1245865294 Russia Ja'von Collins Counselor 833 22nd St S, St Petersburg, FL 33712-2250 2020-03-10
1053959023 Lynn Stephanie Jackson Dorman Counselor 1700 Park St N Ste 110, St Petersburg, FL 33710-4300 2019-12-20
1063985091 Carleah East Counselor 6675 38th Ave N Ste 102, St Petersburg, FL 33710-1534 2019-01-02
1992271167 Devon Willette Counselor 3900 Queen St N, St Petersburg, FL 33714-4644 2018-10-16
1750862017 Mind Body Wellness Group LLC Counselor 735 Arlington Ave N Ste 205, St Petersburg, FL 33701-3653 2018-08-24
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Competitor

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City ST PETERSBURG
Zip Code 33711

Improve Information

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Dataset Information

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.

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