MS. JILL LESLIE FISCHBERG (NPI# 1104882679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104882679 |
| Entity Type | Individual |
| Full Name | MS. JILL LESLIE FISCHBERG |
| Credential | LMHC |
| Practice Address |
6170 53rd Ave E Bradenton FL 34203-9721 |
| Practice Telephone | 9414684567 |
| Practice Fax Number | 9416216226 |
| Mailing Telephone | 9414684567 |
| Mailing Fax Number | 9416216226 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MH 10788 | FL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH 10788 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 10788 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH 10788 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003784400 | 05 |
| Street Address |
6170 53RD AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34203-9721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861868929 | Jill Fischberg, Lmhc | Counselor | 6170 53rd Ave E, Bradenton, FL 34203-9721 | 2015-08-12 |
| 1710252846 | Steven J Gooding | Acupuncturist | 6170 53rd Ave E, Suite 306, Bradenton, FL 34203-9707 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1053814251 | Oneco Smiles Inc | Dentist | 1612 53rd Ave East, Oneco, FL 34203 | 2018-03-14 |
| 1811404908 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1505 53rd Ave, Bradenton, FL 34203 | 2018-01-10 |
| 1871003632 | Linda J Campbell | Dietitian, Registered | 6610 68th Street East, Bradenton, FL 34203 | 2017-10-06 |
| 1710430988 | Crystal Camden | Dentist | 5205 Office Park Blvd, Bradenton, FL 34203 | 2016-07-25 |
| 1104214865 | Sea of Smiles, Inc. | Dentist | 6060 State Road 70, Suite A, Bradenton, FL 34203 | 2015-01-05 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1881090025 | Lockwood Commons Dental Care | Dentist | 4222 53rd Ave E, Bradenton, FL 34203 | 2014-11-17 |
| 1447661418 | David W Heaton | Dentist | 1612 53rd Avenue East, Bradenton, FL 34203 | 2014-05-13 |
| 1346688066 | Joshua Donald Hogan | Pharmacist | 7290 55th Avenue East, Bradenton, FL 34203 | 2013-06-05 |
| Find all providers in zip 34203 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1396374948 | Melanie B Stebbins | Counselor | 5218 4th Avenue Cir E, Bradenton, FL 34208-5621 | 2020-04-06 |
| 1407485352 | Gale Susanne Kelley | Counselor | 7282 55th Ave E, Bradenton, FL 34203-8002 | 2020-04-03 |
| 1083244040 | Mary Therese Skinner | Counselor | 4112 53rd Ave W Apt 314, Bradenton, FL 34210-3453 | 2020-01-18 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255851473 | Karma Counseling Services, LLC | Counselor | 1023 Manatee Ave W Ste 301, Bradenton, FL 34205-7828 | 2017-06-20 |
| 1619415254 | Mary Blackwell | Counselor | 5924 30th Ave W, Bradenton, FL 34209-6901 | 2017-02-02 |
| 1548710429 | Amanda Gerber | Counselor | 351 6th Ave W, Bradenton, FL 34205-8820 | 2016-10-04 |
| 1992251441 | Amy L Mckenna | Counselor | 12389 Lavender Loop, Bradenton, FL 34212-2976 | 2016-08-25 |
| 1255885497 | Lavonna Gregory | Counselor | 9030 58th Dr E Ste 103, Bradenton, FL 34202-6108 | 2016-08-04 |
| Find all providers in BRADENTON | ||||
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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.