JAYME FUNDERBURK (NPI# 1801415856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801415856 |
Entity Type | Individual |
Full Name | JAYME FUNDERBURK |
Credential | LPC |
Practice Address |
1105 Jefferson Ave Waco TX 76701-1212 |
Mailing Address |
Po Box 890 Waco TX 76703-0890 |
Practice Telephone | 2547523451 |
Practice Fax Number | 2547563133 |
Mailing Telephone | 2547523451 |
Mailing Fax Number | 2547563133 |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
77970 | TX | Behavioral Health & Social Service Providers |
Street Address |
1105 JEFFERSON AVE |
City | WACO |
State | TX |
Zip Code | 76701-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952485195 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2006-10-24 |
1730741422 | Jordyn D Lockhart | Counselor | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2019-07-02 |
1609431121 | Ashley Harrison | Counselor | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2019-05-09 |
1710448154 | Ashly Nicole Huffstatler | Social Worker | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2019-03-28 |
1942770870 | Katrina Chadwell | Counselor | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2018-12-04 |
1033602438 | Kelli King Guerrero | Social Worker | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2018-06-11 |
1861860892 | Heart of Texas Region Mental Health Mental Retardation Center | Clinic/Center | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2015-09-08 |
1275718223 | Diamante Maya | Social Worker | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2008-01-08 |
1336366830 | Vivian L Stidvent | Counselor | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2007-04-19 |
1871719492 | Dallas Elden Smeltser Jr. | Counselor | 1105 Jefferson Ave, Waco, TX 76701-1212 | 2007-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780005744 | Cenikor Foundation | Counselor | 900 Austin Avenue, Suite 1103, Waco, TX 76701 | 2013-12-18 |
1730412073 | Lauren Corinne Smith | Occupational Therapist | 900 Washington Avenue, Waco, TX 76701 | 2009-09-17 |
1750554093 | Juanita Castillo | Internal Medicine | 1226 Washington Avenue, Waco, TX 76701 | 2008-04-08 |
1306958426 | Daniel Ray Davis | Dentist | 2305 Austin, Waco, TX 76701 | 2006-08-31 |
1003886003 | Elite Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 2105 Franklin Ave, Waco, TX 76701 | 2006-01-24 |
1740680750 | Kayleigh Anderson | Counselor | 110 S 12th St, Waco, TX 76701 | 2014-08-27 |
1477821593 | Michelle Elizabeth Girard | Speech-Language Pathologist | 900 Washington Ave, Waco, TX 76701 | 2011-12-03 |
1871781302 | Robert Craig Rainey | Family Medicine | 1226 Washington Ave, Waco, TX 76701 | 2007-10-10 |
1407972581 | Sarah S. Allen | Marriage & Family Therapist | 110 S 12th St, Waco, TX 76701 | 2007-03-21 |
1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
Find all providers in zip 76701 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979401 | Ana Maria Matei | Counselor | 6515 Sanger Ave Ste 21, Waco, TX 76710-7806 | 2020-07-16 |
1649892423 | Miriam Paiva Pahim Karkle | Counselor | 2500 Colcord Ave, Waco, TX 76707-1911 | 2020-05-14 |
1326670993 | Courtney Coker | Counselor | 11947 Gholson Rd, Waco, TX 76705-5604 | 2020-02-11 |
1356973689 | Anna Lee Reynolds | Counselor | 4144 Riata Ranch Rd, Waco, TX 76705-3810 | 2020-02-05 |
1205481207 | Jennifer Nivin Williamson | Counselor | 1205 Thistle Park, Waco, TX 76706-7292 | 2019-08-06 |
1295292217 | Colby J Walters | Counselor | 3306 Cumberland Ave, Waco, TX 76707-1225 | 2019-02-26 |
1659878601 | Allison M Cornell | Counselor | 3233 Cole Ave, Waco, TX 76707-2536 | 2018-04-06 |
1700398187 | Sarah Thomas | Counselor | 3221 Franklin Ave Ste 302, Waco, TX 76710-7360 | 2017-10-25 |
1598295636 | Justine Lowrey | Counselor | 7111 Bosque Blvd Ste 102, Waco, TX 76710-4070 | 2017-06-12 |
1972039006 | Kate Ko | Counselor | 4555 Lake Shore Dr Ste B, Waco, TX 76710-1814 | 2017-05-10 |
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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.