MARY JANE OGLESBY (NPI# 1821052788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821052788 |
| Entity Type | Individual |
| Full Name | MARY JANE OGLESBY |
| Credential | LMHC |
| Practice Address |
715 N Lake Ave Lakeland FL 33801-1908 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8634132566 |
| Practice Fax Number | 8635829251 |
| Mailing Telephone | 8635190575 |
| Mailing Fax Number | 8635829251 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAP 3106 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH7721 | FL | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 767270500 | 05 |
| Street Address |
715 N LAKE AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374678 | Tiy Johnson | Counselor | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2020-10-21 |
| 1871118307 | William Ronald Sunailitus Jr. | Registered Nurse | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2020-06-10 |
| 1073132379 | Cinthia Creteur | Case Manager/Care Coordinator | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2020-04-16 |
| 1841826427 | Bret Kulpa | Counselor | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2020-03-16 |
| 1245863059 | Bridget Cook | Registered Nurse | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2020-02-20 |
| 1346873262 | Steven L Baker | Registered Nurse | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2020-02-19 |
| 1689231300 | Mariann Rienzo | Registered Nurse | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2019-05-29 |
| 1376100172 | Saundee Sheffield | Registered Nurse | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2019-05-28 |
| 1942864996 | Lauren Marie O'connor | Registered Nurse | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2019-04-25 |
| 1326601048 | Vivianne Vonador | Case Manager/Care Coordinator | 715 N Lake Ave, Lakeland, FL 33801-1908 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626734 | Rowena Allison Barnett | Counselor | 4730 Lakeland Highlands Rd, Lakeland, FL 33813-3125 | 2020-10-15 |
| 1013525039 | Marah Mcaleer | Counselor | 5601 Bloomfield Blvd, Lakeland, FL 33810-8234 | 2020-07-15 |
| 1801417993 | Annie G Leboeuf | Counselor | 7355 Us Highway 98 N, Lakeland, FL 33809-2102 | 2020-04-30 |
| 1477172971 | Florida Counseling Solutions LLC | Counselor | 122 E Main St # 274, Lakeland, FL 33801-4655 | 2020-04-14 |
| 1114553757 | Megan Nance | Counselor | 50 Lake Morton Dr, Lakeland, FL 33801-5343 | 2020-03-16 |
| 1114557360 | Pinder Counseling LLC | Counselor | 4740 Cleveland Heights Blvd Ste 1, Lakeland, FL 33813-2187 | 2020-01-16 |
| 1174162093 | Deborah Beall Boynton | Counselor | 219 Hillcrest St, Lakeland, FL 33815 | 2019-12-23 |
| 1295377745 | Mary Ann Veronica Santiago | Counselor | 4745 Old Road 37, Lakeland, FL 33813-2031 | 2019-10-16 |
| 1407498298 | Altovise L Davis | Counselor | 627 Carolyn Dr, Lakeland, FL 33803-4856 | 2019-10-13 |
| 1255988895 | Glenna Mary Denis | Counselor | 3421 Sleepy Hill Oaks St, Lakeland, FL 33810-3561 | 2019-08-19 |
| Find all providers in LAKELAND | ||||
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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.