ANGELA JERRY (NPI# 1124454855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124454855 |
| Entity Type | Individual |
| Full Name | ANGELA JERRY |
| Practice Address |
4700 Millenia Blvd Suite 175 Orlando FL 32839-6013 |
| Mailing Address |
10069 Lee Vista Blvd Apartment 11108 Orlando FL 32829-8117 |
| Practice Telephone | 4078018476 |
| Mailing Telephone | 8134442784 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH11740 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
11740 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4700 MILLENIA BLVD SUITE 175 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839-6013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649485079 | David Cheesman | Family Medicine | 4700 Millenia Blvd, Suite # 175, Orlando, FL 32839-6015 | 2007-05-11 |
| 1154891422 | The United States Fire Department Reserve Corps, Inc. | Counselor | 4700 Millenia Blvd, Suite 175-601, Orlando, FL 32839 | 2018-11-29 |
| 1922465228 | Veronica Dickens | Marriage & Family Therapist | 4700 Millenia Blvd, Orlando, FL 32839 | 2016-01-19 |
| 1710359716 | New Choice Healthcare Group | Internal Medicine | 4700 Millenia Blvd, Suite 175, Orlando, FL 32839-6013 | 2015-10-29 |
| 1538570676 | The Kenkou Group - South, LLC | Home Health | 4700 Millenia Blvd, Suite 175, Orlando, FL 32839-6013 | 2014-05-12 |
| 1255651758 | Deaf2deaf | Community/Behavioral Health | 4700 Millenia Blvd, Suite 175, Orlando, FL 32839-6013 | 2010-06-07 |
| 1265758411 | John Blue Boswell | Counselor | 4700 Millenia Blvd, Ste 175, Orlando, FL 32839-6013 | 2010-04-13 |
| 1336305655 | Juan David Jimenez | Counselor | 4700 Millenia Blvd, Orlando, FL 32839 | 2008-08-06 |
| 1821255472 | Lift Spectrum Technologies, LLC | Durable Medical Equipment & Medical Supplies | 4700 Millenia Blvd, Suite 175, Orlando, FL 32839-6013 | 2008-05-21 |
| 1336313238 | Neuropsychology Assesment Services | Clinical Neuropsychologist | 4700 Millenia Blvd, Suite 175, Orlando, FL 32839-6013 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| Find all providers in zip 32839 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1972103992 | Nadine Ferguson | Counselor | 5932 Folkstone Ln, Orlando, FL 32822-9417 | 2020-10-28 |
| 1386242592 | Orialis Sosa | Counselor | 1613 Park Lake St, Orlando, FL 32803-4154 | 2020-10-12 |
| 1710584057 | Megan E Hunt | Counselor | 1701 Park Center Dr Ste 202, Orlando, FL 32835-6235 | 2020-10-08 |
| 1134726094 | Jeffrey Harris | Counselor | 2568 Woodgate Blvd Apt 203, Orlando, FL 32822-5881 | 2020-10-05 |
| 1568069540 | Ask Schellie Consulting, LLC | Counselor | 2036 36th St, Orlando, FL 32839-8810 | 2020-10-03 |
| 1992319883 | Taleasha Lintayvia Washington | Counselor | 2012 Cabo San Lucas Dr Apt 208, Orlando, FL 32839-8435 | 2020-09-08 |
| 1053925297 | Morgan Mckee | Counselor | 1510 Lake Baldwin Ln Apt B, Orlando, FL 32814-6676 | 2020-09-04 |
| 1104437854 | Eliana Rina Gershon | Counselor | 6203 Steach Dr, Orlando, FL 32808-5436 | 2020-08-14 |
| Find all providers in ORLANDO | ||||
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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.