MS. ANNIE MULLEN PATRICK (NPI# 1821168089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821168089 |
| Entity Type | Individual |
| Full Name | MS. ANNIE MULLEN PATRICK |
| Credential | LMHC, MA, CASAC |
| Practice Address |
239 Golden Hill Ln Ucmhd Kingston NY 12401-6441 |
| Mailing Address |
31 Maverick Rd P.o. Box 1108 Woodstock NY 12498-1719 |
| Practice Telephone | 8453404000 |
| Practice Fax Number | 8453404094 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3423 | NY | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
001128-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CASAC | 3423 | 01 |
| NY | LMHC | 001128-1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831436955 | Annie Deloris Patrick | Taxi | 102 Kendra Ln, Picayune, MS 39466-4527 | 2013-01-09 |
| Street Address |
239 GOLDEN HILL LN UCMHD |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811449 | County of Ulster Ny | Clinic/Center | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2005-06-14 |
| 1245840073 | Teasia Williams | Nurse Practitioner | 239 Golden Hill Ln, Kingston, NY 12401-6452 | 2020-08-06 |
| 1902420375 | Devon Richard Brady | Counselor | 239 Golden Hill Ln, Kingston, NY 12401-6452 | 2020-06-02 |
| 1437771839 | Jessica Jones | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6452 | 2020-05-08 |
| 1013567692 | Chelesa Turnbull | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2019-09-16 |
| 1730733940 | Allison Philip Burch | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2019-07-25 |
| 1245894401 | Laurie A Conlon | Counselor | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2019-04-23 |
| 1922586015 | Maria Benaissa | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2018-08-01 |
| 1619329786 | Angela Canepa | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2016-07-12 |
| 1598123234 | Stephanie Olear | Counselor | 239 Golden Hill Ln, Suite 100, Kingston, NY 12401-6441 | 2016-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267490 | A Prodigal's Path 2 Recovery, Inc. | Counselor | 107 Paint Rock Ferry Rd, Kingston, TN 37763-2921 | 2020-05-22 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1386989838 | Shawna Fanning | Counselor | 161 Summer St Ste 7, Kingston, MA 02364-1275 | 2012-12-10 |
| 1639481633 | Karen Holcomb | Counselor | 400 3rd Ave Ste 308, Kingston, PA 18704-5816 | 2010-07-07 |
| 1992973754 | Courtney Elizabeth Oliver | Counselor | 31912 Little Boston Rd Ne, Port Gamble Sklallam Tribe, Kingston, WA 98346-9700 | 2008-02-14 |
| 1831297670 | James M Sullivan | Counselor | 28 Ocean Hill Dr, Kingston, MA 02334 | 2006-09-20 |
| 1831718501 | Constance Marie Carr | Counselor | 144 Pine St Ste 140, Kingston, NY 12401-4946 | 2020-04-13 |
| 1336603026 | Jason Raydr-scott Gomez | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2019-01-26 |
| 1366927071 | Rebecca Vanduzer | Counselor | 3 Family Practice Dr, Kingston, NY 12401-6449 | 2018-09-27 |
| 1942734884 | Adam Jackson | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2017-04-18 |
| Find all providers in KINGSTON | ||||
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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.