MISSELLE LAVONNE JEFFCOAT (NPI# 1013431410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013431410 |
| Entity Type | Individual |
| Full Name | MISSELLE LAVONNE JEFFCOAT |
| Credential | LPMHC, LPC, MS |
| Practice Address |
400 Fort Hill Ave Canandaigua NY 14424-1159 |
| Practice Telephone | (585) 393-7218 |
| Mailing Telephone | 5853937218 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6617 | SC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
007790-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
400 FORT HILL AVE |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982713 | Christie H Hylwa | Pharmacist | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2005-09-16 |
| 1982210100 | Brian Lanpher | Social Worker | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2020-09-22 |
| 1386276962 | Todd Michael Bishop | Psychologist | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2020-02-11 |
| 1548801343 | Salome Tsige | Counselor | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2019-10-02 |
| 1609429901 | Anna Maria De Spirito Vestal | Counselor | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2019-07-17 |
| 1790248490 | Martha Flye Plumer Gault | Registered Nurse | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2019-04-09 |
| 1902381916 | Lauren Liotta | Psychologist | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2018-09-26 |
| 1568961860 | Kevin Edward Barnhardt | Licensed Practical Nurse | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2018-02-02 |
| 1518476621 | Krista E Ortiz | Physical Therapist | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2017-09-21 |
| 1821507989 | Nicholas Edward Evertz | Chiropractor | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2017-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724634 | Angelina Kathryn Zulick | Counselor | 2214 Risser Rd, Canandaigua, NY 14424-8017 | 2019-11-14 |
| 1902360944 | Tina Albright-menna | Counselor | 142 Mill St, Canandaigua, NY 14424-2037 | 2019-01-23 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1740729342 | Emilja Kelly | Counselor | 400 Fort Hill Ave Ste 17, Canandaigua, NY 14424-1159 | 2017-02-15 |
| 1609323591 | Carrie Robinson-elhassen | Counselor | 482 N Main St, Canandaigua, NY 14424-1049 | 2016-09-08 |
| 1356728950 | Colleen R. Klintworth | Counselor | 175 Telyea St, Canandaigua, NY 14424-1652 | 2015-05-04 |
| 1790901882 | Barbara E. Oliver | Counselor | 24 Island Ln, Canandaigua, NY 14424-2479 | 2007-04-17 |
| 1871500603 | Beverly Jean Miller | Counselor | 4610 Bluebird Rd, Canandaigua, NY 14424-9735 | 2006-08-02 |
| Find all providers in CANANDAIGUA | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
Please comment or provide details below to improve the information on MISSELLE LAVONNE JEFFCOAT.
| 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.