KELLY ELIZABETH DESOUSA (NPI# 1124513106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124513106 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH DESOUSA |
| Credential | MS, ATR |
| Practice Address |
4282 Herschel St Jacksonville FL 32210-2247 |
| Practice Telephone | 0944477797 |
| Mailing Telephone | 0944477797 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 15-056 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962737437 | Kelly Martins Desousa | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2009-10-16 |
| Street Address |
4282 HERSCHEL ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629149992 | Laurie Mckee | Specialist | 4282 Herschel St, Jacksonville, FL 32210-2247 | 2006-11-10 |
| 1730658402 | Sarah Anne Beaman | Art Therapist | 4282 Herschel St, Jacksonville, FL 32210-2247 | 2018-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730658402 | Sarah Anne Beaman | Art Therapist | 4282 Herschel St, Jacksonville, FL 32210-2247 | 2018-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588171516 | Virginia A Erdie | Art Therapist | 2035 Dewey St # 2, Hollywood, FL 33020-6923 | 2017-12-29 |
| 1619367075 | Linda Maniscalco | Art Therapist | 3600 N Ocean Dr Apt 226, Riviera Beach, FL 33404-3258 | 2015-01-23 |
| 1629489240 | Cara Levitt | Art Therapist | 200 S Washington Blvd, Suite 4a, Sarasota, FL 34236-6904 | 2014-05-16 |
| 1841601457 | Amanda Alders Pike | Art Therapist | 3339 Virginia St Apt 127, Miami, FL 33133-6028 | 2014-05-16 |
| 1255964011 | Natalia Betancourt | Art Therapist | 27331 S Dixie Hwy, Homestead, FL 33032-8233 | 2020-02-19 |
| 1568007334 | Megan Miller | Art Therapist | 4020 Lake Worth Rd, Palm Springs, FL 33461-3918 | 2019-11-15 |
| 1922655406 | Jessica Nicole Matos | Art Therapist | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2019-08-20 |
| 1255896643 | Jenny Esther Leon | Art Therapist | 2700 Westhall Ln Ste 207, Maitland, FL 32751-7478 | 2019-02-10 |
| 1932672136 | Heather Spooner | Art Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2019-01-10 |
| 1174017735 | Anne-marie Collins | Art Therapist | 913 Gulf Breeze Pkwy Ste 26a, Gulf Breeze, FL 32561-4731 | 2018-06-18 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
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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.