DENISE ANN FAGAN (NPI# 1023254950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023254950 |
| Entity Type | Individual |
| Full Name | DENISE ANN FAGAN |
| Credential | LMHC |
| Practice Address |
14527 7th St Dade City FL 33523-3102 |
| Practice Telephone | 3525211474 |
| Practice Fax Number | 3525211477 |
| Mailing Telephone | 3525211474 |
| Mailing Fax Number | 3525211477 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 9645 | FL | Behavioral Health & Social Service Providers |
| Street Address |
14527 7TH ST |
| City | DADE CITY |
| State | FL |
| Zip Code | 33523-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063436160 | Latamia M White-green | Psychiatry & Neurology | 14527 7th St, Dade City, FL 33523-3102 | 2006-07-26 |
| 1912513482 | Rachel Brockhouse | Counselor | 14527 7th St, Dade City, FL 33523-3102 | 2020-09-21 |
| 1043828536 | Jessica Lynn Faber | Nurse Practitioner | 14527 7th St, Dade City, FL 33523-3102 | 2020-07-21 |
| 1174171813 | Dorothy Lynne Harrison Harty | Nurse Practitioner | 14527 7th St, Dade City, FL 33523-3102 | 2019-08-27 |
| 1619432093 | Marlo Deshawn Bryant | Counselor | 14527 7th St, Dade City, FL 33523-3102 | 2019-02-10 |
| 1356858229 | Emily Cohen | Counselor | 14527 7th St, Dade City, FL 33523-3102 | 2018-01-02 |
| 1699137950 | Jeannine Blackwell | Social Worker | 14527 7th St, Dade City, FL 33523-3102 | 2016-03-25 |
| 1306108253 | Baycare Behavioral Health Inc | Case Management | 14527 7th St, Dade City, FL 33523-3102 | 2012-06-15 |
| 1831451137 | Baycare Behavioral Health Inc. | Clinic/Center | 14527 7th St, Dade City, FL 33523-3102 | 2012-06-12 |
| 1144522079 | Crystal Dawn Lipinski | Case Manager/Care Coordinator | 14527 7th St, Dade City, FL 33523-3102 | 2010-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446703 | Emad Mansour | Pharmacist | 21650 Us Highway 301, Dade City, FL 33523 | 2020-10-27 |
| 1255738977 | Premier Community Healthcare Group, Inc | Clinic/Center | 38724 Mudcat Grant Blvd, Dade City, FL 33523 | 2014-11-24 |
| 1881869709 | Diana Y Leland | Massage Therapist | 15000 Citrus Country Dr, Suite 212, Dade City, FL 33523 | 2008-04-23 |
| 1659642049 | Spirit Enterprises | Nursing Care | 34213 Spirit Hills Way, Dade City, FL 33523-0630 | 2012-01-18 |
| 1851679088 | Vicky Jane Bahmann | Contractor | 36915 Patton Rd, Dade City, FL 33523-1209 | 2011-07-21 |
| 1265668966 | Carla A Bevins | Speech-Language Pathologist | 21115 Hunter Hill Dr, Dade City, FL 33523-1313 | 2009-06-09 |
| 1023139920 | Kristina May Lombardi | Pharmacist | 30704 Hawkeye Rd, Dade City, FL 33523-1943 | 2007-04-02 |
| 1942491154 | Beth Lorraine Genho | Dentist | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2007-08-05 |
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
| 1972027654 | Momentum Physical Therapy and Fitness Pllc | Physical Therapist | 14540 7th St, Dade City, FL 33523-3101 | 2017-08-03 |
| Find all providers in zip 33523 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184197154 | Coral Lynn Blake | Counselor | 35054 Whispering Oaks Blvd, Dade City, FL 33523-9415 | 2019-01-02 |
| 1104271865 | Saybra Rice Chapman | Counselor | 14150 6th St, Dade City, FL 33525-3805 | 2016-05-02 |
| 1215340575 | Michele Gerrell | Counselor | 37303 Hickory Hill Ln, Dade City, FL 33525-5626 | 2014-06-04 |
| 1760730881 | Rebecca Conner | Counselor | 38052 Meridian Ave, Dade City, FL 33525-3811 | 2012-08-21 |
| 1487982567 | Virgil Inc. | Counselor | 38008 Live Oak Ave, Suite #7, Dade City, FL 33523-3810 | 2009-11-30 |
| 1700016870 | James Bryan Bartlett | Counselor | 34421 Tranquiview Ln, Dade City, FL 33523-7561 | 2009-07-22 |
| 1215118203 | Margit Chipman | Counselor | 38008 Live Oak Ave Ste 7, Dade City, FL 33523-3847 | 2007-11-18 |
| 1912513482 | Rachel Brockhouse | Counselor | 14527 7th St, Dade City, FL 33523-3102 | 2020-09-21 |
| 1619432093 | Marlo Deshawn Bryant | Counselor | 14527 7th St, Dade City, FL 33523-3102 | 2019-02-10 |
| 1356858229 | Emily Cohen | Counselor | 14527 7th St, Dade City, FL 33523-3102 | 2018-01-02 |
| Find all providers in DADE CITY | ||||
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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.