JAYME FUNDERBURK


Address: 1105 Jefferson Ave, Waco, TX 76701-1212
Phone: 2547523451

JAYME FUNDERBURK (NPI# 1801415856) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
77970 TX Behavioral Health & Social Service Providers

Office Location

Street Address 1105 JEFFERSON AVE
City WACO
State TX
Zip Code 76701-1212

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
Find all providers in WACO

Competitor

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City WACO
Zip Code 76701

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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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