STEPHANIE CHERYL BOSH (NPI# 1003275678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003275678 |
| Entity Type | Individual |
| Full Name | STEPHANIE CHERYL BOSH |
| Credential | MS, MCAP |
| Practice Address |
580 Ellis Rd S Jacksonville FL 32254-3582 |
| Practice Telephone | 9044230017 |
| Mailing Telephone | 9044230017 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | ADC-010765-2015 | FL | Behavioral Health & Social Service Providers |
| Street Address |
580 ELLIS RD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32254-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467843052 | Muntrella Regina Woodard | Counselor | 580 Ellis Rd S, Jacksonville, FL 32254-3582 | 2015-02-18 |
| 1942663679 | Alexandra Jones | Counselor | 580 Ellis Rd S, Ste 118, Jacksonville, FL 32254-3582 | 2016-03-31 |
| 1003273244 | South Rehabilitation Center, Inc. | Community/Behavioral Health | 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254-3582 | 2016-01-19 |
| 1679948699 | Rose Marie Pena | Marriage & Family Therapist | 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254-3582 | 2015-12-02 |
| 1326415662 | Jacqueline Baker | Counselor | 580 Ellis Rd S, Jacksonville, FL 32254-3582 | 2015-08-21 |
| 1841686433 | Src | Community/Behavioral Health | 580 Ellis Rd S, Jacksonville, FL 32254-3582 | 2015-04-09 |
| 1285027029 | Melissa Morrow Lamb | Counselor | 580 Ellis Rd S, Ste 118, Jacksonville, FL 32254-3582 | 2015-03-17 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| 1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
| 1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
| 1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
| 1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
| 1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
| 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.