MRS. JENNAFER JOLLEEN CROCKETT (NPI# 1023434198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023434198 |
| Entity Type | Individual |
| Full Name | MRS. JENNAFER JOLLEEN CROCKETT |
| Credential | LMHC, MFT |
| Practice Address |
1010 S Garden Ave Roswell NM 88203-6866 |
| Mailing Address |
202 E Earll Dr Ste 200 Phoenix AZ 85012-2647 |
| Practice Telephone | 5756237660 |
| Practice Fax Number | 5756232604 |
| Mailing Telephone | 5756231480 |
| Mailing Fax Number | 5756223325 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0172701 | NM | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1010 S GARDEN AVE |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-6866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326270703 | Christina Bates | Case Manager/Care Coordinator | 1010 S Garden Ave, Roswell, NM 88203-6866 | 2009-08-18 |
| 1194111021 | La Casa De Buena Salud Inc | Community/Behavioral Health | 1010 S Garden Ave, Roswell, NM 88203-6866 | 2015-04-07 |
| 1013317742 | Debbie Luevano-cooper | Social Worker | 1010 S Garden Ave, Roswell, NM 88203-6866 | 2014-08-29 |
| 1609290915 | George Botello | Social Worker | 1010 S Garden Ave, Roswell, NM 88203-6866 | 2014-02-06 |
| 1295169803 | Turquoise Health and Wellness, Inc. | Community/Behavioral Health | 1010 S Garden Ave, Roswell, NM 88203-6866 | 2013-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777483 | Meredith L Price | Counselor | 555 Sun Valley Dr Ste M2, Roswell, GA 30076-5631 | 2019-12-18 |
| 1760990543 | David Sherwood | Counselor | 11705 King Rd, Roswell, GA 30075-7701 | 2018-01-16 |
| 1669990743 | Amber Fort | Counselor | 10929 Crabapple Rd Ste C, Roswell, GA 30075-7657 | 2017-09-08 |
| 1740722370 | Sharon Nix | Counselor | 11940 Chaffin Rd, Roswell, GA 30075-1479 | 2016-11-14 |
| 1447635859 | Stephanie Lemmey | Counselor | 1905 Woodstock Rd Ste 6200, Roswell, GA 30075-5630 | 2015-07-27 |
| 1790172849 | Mashallah Shakur | Counselor | 3438 Laurelwood Ct Ne, Roswell, GA 30075-5250 | 2015-04-15 |
| 1659615961 | Heig Ashot Merijanian | Counselor | 12080 Mountain Laurel Dr, Roswell, GA 30075-1220 | 2012-11-27 |
| 1427316520 | Camie L. Vincent | Counselor | 10929 Crabapple Rd Ste 201e, Roswell, GA 30075-5856 | 2012-04-26 |
| 1801161112 | Adele Teresa Hernandez | Counselor | 580 Hembree Rd., Roswell, GA 30076 | 2012-03-20 |
| 1134411812 | Shannon Brookshire Barnes | Counselor | 11577 Point Place, Roswell, GA 30076 | 2011-05-12 |
| Find all providers in ROSWELL | ||||
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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.