TERESA L EVEN (NPI# 1023073814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023073814 |
| Entity Type | Individual |
| Full Name | TERESA L EVEN |
| Credential | LMHC |
| Practice Address |
2625 S Florida Ave Lakeland FL 33803-3860 |
| Mailing Address |
1324 Lakeland Hills Blvd Attn: Medical Staff Office Lakeland FL 33805-4543 |
| Practice Telephone | 8632845941 |
| Practice Fax Number | 8632845199 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MH6524 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 761645700 | 05 |
| Street Address |
2625 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891346 | Armando Jimenez | Otolaryngology | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2005-06-20 |
| 1225478670 | Hemantkumar Ramanlal Raval | Internal Medicine | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2013-06-30 |
| 1639437213 | Ayanna Amlak Joseph | Family Medicine | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2012-05-02 |
| 1326343112 | Dilip Shahani | Physician Assistant | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2011-01-25 |
| 1093961799 | Pediatric Pulmonary Specialists Pa | Pediatrics | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2008-08-13 |
| 1881690303 | Clifton C Wheeler | Obstetrics & Gynecology | 2625 S Florida Ave, Lakeland, FL 33803-3860 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| 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 |
|---|---|---|---|---|
| 1164042644 | Masterpiece Counseling LLC | Counselor | 2420 N Crystal Lake Dr Ste 200, Lakeland, FL 33801-6205 | 2020-04-24 |
| 1609409705 | Sheryl Truluck East | Counselor | 80 Cypress Trl, Lakeland, GA 31635-5433 | 2020-02-17 |
| 1356808786 | Joseph Lee Kelly | Counselor | 900 Old Combee Rd Lot 86, Lakeland, FL 33805-9508 | 2019-02-21 |
| 1629518287 | Bruce Howard Garver | Counselor | 6324 Calusa Dr, Lakeland, FL 33813-3766 | 2017-03-01 |
| 1598115503 | Monica Chambers | Counselor | 2419 Buckingham Ave, Lakeland, FL 33803-3104 | 2016-06-21 |
| 1780040428 | Brittani F Munchel | Counselor | 4404 S Florida Ave Ste 2, Lakeland, FL 33813-2183 | 2016-01-11 |
| 1073901658 | Janet Ghent | Counselor | 5247 Quiet Creek Ln, Lakeland, FL 33811-2028 | 2015-01-05 |
| 1093138687 | Brenda Blockus | Counselor | 3726 Hampton Hills Dr, Lakeland, FL 33810-3867 | 2014-02-03 |
| 1528490893 | James Emory Welch Jr. | Counselor | 1512 Arthur Blvd, Lakeland, FL 33801-7112 | 2013-08-08 |
| 1982951844 | Sonja Orozco | Counselor | 5628 Woodwind Hills Dr, Lakeland, FL 33812-6324 | 2012-08-10 |
| 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.