PAGANO WELLNESS CLINIC (NPI# 1114479938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114479938 |
| Entity Type | Organization |
| Organization Name | PAGANO WELLNESS CLINIC |
| Practice Address |
10120 W Broad St Ste I Glen Allen VA 23060-6709 |
| Practice Telephone | 8044094282 |
| Practice Fax Number | 8045100044 |
| Mailing Telephone | 8044094282 |
| Mailing Fax Number | 8045100044 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | JENNA PAGANO (OWNER) |
| Authorized Official Telephone | 8044094282 |
| Authorized Official Credential | MS, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2805 | KS | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2029 Vanesta Pl Ste 15, Manhattan, KS 665037401 | 7854227792 | 8045100044 |
| Street Address |
10120 W BROAD ST STE I |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992147599 | Alexander Thomas Vaughan | 10120 W Broad St Ste I, Glen Allen, VA 23060-6709 | 2013-07-24 | |
| 1932738994 | Gina Marie Nelson | Counselor | 10120 W Broad St Ste I, Glen Allen, VA 23060-6709 | 2020-04-02 |
| 1235695743 | Virginia Total Sleep Pllc | 10120 W Broad St Ste I, Glen Allen, VA 23060-6709 | 2019-02-20 | |
| 1275910978 | Michael Stephen Pagano | Dentist | 10120 W Broad St Ste I, Glen Allen, VA 23060-6709 | 2015-05-01 |
| 1457783946 | Megan Carey Vaughan | Speech-Language Pathologist | 10120 W Broad St Ste I, Glen Allen, VA 23060-6709 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578773602 | John David Niemeyer | Marriage & Family Therapist | 6108 Club Commons Ct, Glen Allen, VA 23059-7030 | 2007-05-24 |
| 1730312117 | Sarah Conrad | Marriage & Family Therapist | 3932 Springfield Rd, Glen Allen, VA 23060-4119 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715869 | Tatiana L. Williams | Marriage & Family Therapist | 1520 Hambledon Loop, Chesapeake, VA 23320-3318 | 2020-09-16 |
| 1386259687 | Brian Cass | Marriage & Family Therapist | 717 Willow Brook Rd, Chesapeake, VA 23320-3552 | 2020-09-14 |
| 1073127684 | Dawn Cherie Aronson | Marriage & Family Therapist | 7828 Ontario Rd, Gainesville, VA 20155-1711 | 2020-09-01 |
| 1922618628 | Sandra Antonia Herek | Marriage & Family Therapist | 11923 Centre St Ste C, Chester, VA 23831-1702 | 2020-08-06 |
| 1063036077 | First Responders and Military Empowerment Services, PC | Marriage & Family Therapist | 25328 Dickens Ln, Capron, VA 23829-2020 | 2020-06-04 |
| 1679195184 | Vanessa Marenco | Marriage & Family Therapist | 10981 Founders Pl, Mechanicsville, VA 23116-5845 | 2020-05-07 |
| 1639798283 | Emily Margaret Brown | Marriage & Family Therapist | 405 N Washington St Ste 310, Falls Church, VA 22046-3460 | 2020-04-14 |
| 1326672502 | Complete Therapeutic Solutions | Marriage & Family Therapist | 4451 Longhill Rd, Williamsburg, VA 23188-1534 | 2020-02-26 |
| 1467085134 | David Christian Steele | Marriage & Family Therapist | 6400 Arlington Blvd Ste 650, Falls Church, VA 22042-2325 | 2020-02-20 |
| 1316583651 | Tamara Marie Allen | Marriage & Family Therapist | 5226 Indian River Rd Ste 100, Virginia Bch, VA 23464-6179 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
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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.