MARIA D JANE


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

MARIA D JANE (NPI# 1760706485) 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) 1760706485
Entity Type Individual
Full Name MARIA D JANE
Practice Address 4024 Central Ave
Saint Petersburg
FL 33711-1239
Mailing Address 5707 N 22nd St
Tampa
FL 33610-4350
Practice Telephone 7273277656
Practice Fax Number 7273222110
Mailing Telephone 8132722878
Mailing Fax Number 8132723766
Enumeration Date 2010-03-24
Last Update Date 2018-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH1665 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5707 N 22nd St, Tampa, FL 336104350 8132722878 8132723766

Office Location

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

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023581147 Jessica S Archiquette Counselor 4024 Central Ave, Saint Petersburg, FL 33711-1239 2019-01-11
1770053605 Erin Conte Counselor 4024 Central Ave, Saint Petersburg, FL 33711-1239 2018-12-04
1902386907 Shana J Harper Social Worker 4024 Central Ave, Saint Petersburg, FL 33711-1239 2018-08-19
1295275097 Andrea R Brockman Counselor 4024 Central Ave, Saint Petersburg, FL 33711-1239 2017-02-28
1649728460 Edward Williams Social Worker 4024 Central Ave, Saint Petersburg, FL 33711-1239 2016-09-21
1023566783 Anika Dzik Case Manager/Care Coordinator 4024 Central Ave, Saint Petersburg, FL 33711-1239 2016-09-12
1215325204 Natasha Nixon Licensed Practical Nurse 4024 Central Ave, Saint Petersburg, FL 33711-1239 2014-12-30
1477811255 Cyndie Campbell Counselor 4024 Central Ave, Saint Petersburg, FL 33711-1239 2012-04-30
1043591555 David Nathaniel Newby Registered Nurse 4024 Central Ave, Saint Petersburg, FL 33711-1239 2011-08-30
1457650194 Katherine Dan Salkovitz Marriage & Family Therapist 4024 Central Ave, Saint Petersburg, FL 33711-1239 2011-03-21
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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
1942814314 Juanita Suber Athy Counselor 2900 Pallanza Dr S, Saint Petersburg, FL 33705-3608 2020-09-03
1649880949 Alan Cyr Counselor 433 Rotary Pl Ne, Saint Petersburg, FL 33703-1540 2020-08-03
1013554435 Samantha Brustad Counselor 9887 4th St N Ste 319, Saint Petersburg, FL 33702-8445 2019-12-04
1740751171 Rmr Counseling LLC Counselor 2961 1st Ave N Ste F, Saint Petersburg, FL 33713-8605 2018-12-11
1033658810 Jennifer Sewell Counselor 3900 Shore Acres Blvd Ne, Saint Petersburg, FL 33703-5404 2017-02-14
1245691062 Brian Paulson Counselor 4024 Central Ave # 1239, Saint Petersburg, FL 33711 2016-03-08
1174993596 Nicolette Laine Guzie Counselor 2100 45th Ave N, Saint Petersburg, FL 33714-4136 2015-09-28
1427438662 Denise Eva Gibbons Counselor 1735 Dr Martin Luther King St S, Saint Petersburg, FL 33705-2404 2015-06-03
1174921977 New Transition Therapy, LLC Counselor 400 39th Ave S, Saint Petersburg, FL 33705-3936 2014-12-10
1225465586 David Martin Loggans II Counselor 4501 33rd Ave N, Saint Petersburg, FL 33713-1103 2013-10-02
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Competitor

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City SAINT PETERSBURG
Zip Code 33711

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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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