THERESA G COUNCIL (NPI# 1770075509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770075509 |
| Entity Type | Individual |
| Full Name | THERESA G COUNCIL |
| Other Name | THERESA JOLLEY-COUNCIL |
| Practice Address |
2815 Melson Ave Jacksonville FL 32254-1853 |
| Practice Telephone | 9045709418 |
| Practice Fax Number | 9045709418 |
| Mailing Telephone | 9045709418 |
| Mailing Fax Number | 9045709418 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | FL | Other Service Providers | |
| Y | 172V00000X | Community Health Worker | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 82-2700348 | 05 |
| Street Address |
2815 MELSON AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32254-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096137 | Community Health Navigator Inc. | Case Management | 2815 Melson Ave, Jacksonville, FL 32254-1853 | 2018-09-13 |
| 1700369857 | Theresa Council LLC | Public Health or Welfare | 2815 Melson Ave, Jacksonville, FL 32254-1853 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673385 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 W Palm Ave Ste 210, Jacksonville, FL 32254 | 2018-06-18 |
| 1578072112 | Jules M Jean-pierre | Counselor | 2392 North Edgewood Avenue, Jacksonville, FL 32254 | 2017-09-27 |
| 1356869051 | Volaura Shanae Anderson | Counselor | 590 Ellis Rd, Jacksonville, FL 32254 | 2017-09-01 |
| 1962928291 | Angel Spivie | Counselor | 590 Ellis Road South Building 4, Jacksonville, FL 32254 | 2017-08-18 |
| 1376072777 | Tarkeshia Shuman | Contractor | 3150 Broadway Ave, Jacksoville, FL 32254 | 2017-06-08 |
| 1770931636 | Mamie Faith Peterson-mclaurn | Home Health | 2747 Sophia St, Jax, FL 32254 | 2016-06-01 |
| 1760803373 | Marian Lavonne Jones | Custodial Care Facility | 3501 Centerhill Dr. North, Jacksonville, FL 32254 | 2013-12-27 |
| 1659543981 | Monique Bosque-perez | Family Medicine | 781 Edgewood Ave N, Ufjp Commonwealth Family Practice, Jacksonville, FL 32254 | 2008-03-26 |
| 1508906652 | James Keith Riesz | Physical Therapist | 800 Lomax Street, Suite 105, Jacksonville, FL 32254 | 2007-02-07 |
| 1003903865 | Sabrina F Sessions | Pharmacist | 5050 Edgewood Court, Jacksonville, FL 32254 | 2006-10-05 |
| Find all providers in zip 32254 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614692 | Michole Kiana Nelson | Community Health Worker | 2041 Payne Ave, Jacksonville, FL 32209-5636 | 2020-09-18 |
| 1598373870 | Innovative Health & Wellness LLC 2 | Community Health Worker | 2300 Humbug Creek Rd, Jacksonville, OR 97530-9617 | 2020-07-22 |
| 1043720832 | Brittany Silas | Community Health Worker | 7766 Melvin Rd, Jacksonville, FL 32210-1432 | 2017-10-05 |
| 1255855730 | Bessie Lashell Harris | Community Health Worker | 6243 Pendragon Pl, Jacksonville, FL 32258-9417 | 2017-07-27 |
| 1871017350 | Lisa Picola Priester | Community Health Worker | 3200 Hartley Rd Apt 302, Jacksonville, FL 32257-6710 | 2017-07-27 |
| 1306382320 | Jalisa Williams | Community Health Worker | 10825 Key Haven Blvd Apt 604, Jacksonville, FL 32218-6423 | 2017-01-13 |
| 1992150411 | Stacey Smith | Community Health Worker | 3042 Fitzgerald St, Jacksonville, FL 32254-3947 | 2016-05-03 |
| 1508222076 | Johnel Griggs | Community Health Worker | 14026 Crestwick Dr E, Jacksonville, FL 32218-8432 | 2016-01-13 |
| 1043695182 | Sabrina Hayes | Community Health Worker | 8214 Princeton Square Blvd E Apt 408, Jacksonville, FL 32256-8307 | 2015-07-29 |
| 1619362498 | Taryn Clinton | Community Health Worker | 9063 Galloway Dr, Jacksonville, FL 32219-4382 | 2015-03-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32254 |
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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.