KELLY ANN NENEZIAN (NPI# 1144614819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144614819 |
| Entity Type | Individual |
| Full Name | KELLY ANN NENEZIAN |
| Credential | LMHC |
| Practice Address |
1810 Nw 6th St Ste E Gainesville FL 32609-8535 |
| Practice Telephone | 3526604142 |
| Mailing Telephone | 3526604142 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH15816 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4300 Sw 13th St, Gainesville, FL 326084006 | 3523745600 | |
| 13553 Sw State Road 45, Archer, FL 326189998 | 8635285984 |
| Street Address |
1810 NW 6TH ST STE E |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-8535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149775 | Eric Dutton | Social Worker | 1810 Nw 6th St Ste E, Gainesville, FL 32609-8535 | 2019-05-15 |
| 1528623121 | Therapeutic Alliance of Gainesville LLC | Counselor | 1810 Nw 6th St Ste E, Gainesville, FL 32609-8535 | 2019-05-08 |
| 1922563659 | Gainesville Healing House, Inc. | Counselor | 1810 Nw 6th St Ste E, Gainesville, FL 32609-8535 | 2019-02-06 |
| 1619477007 | Postpartum Wellness & Family Counseling | Social Worker | 1810 Nw 6th St Ste E, Gainesville, FL 32609-8535 | 2018-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817760 | Appendix, Inc | Counselor | 2228 Nw 44th Pl, Gainesville, FL 32605-1761 | 2020-10-06 |
| 1063019057 | Shaun Michael Anderson | Counselor | 235 S Main St Ste 203, Gainesville, FL 32601-6585 | 2020-10-03 |
| 1538775804 | Daniel Patrick Blakeman | Counselor | 2220 Sw 34th St Apt 326, Gainesville, FL 32608-1213 | 2020-09-21 |
| 1265041487 | Margaret Ann Creegan | Counselor | 8763 Sw 27th Ln, Gainesville, FL 32608-9338 | 2020-07-23 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1326669490 | Jennifer Beaujon | Counselor | 6117 Cardinal Dr, Gainesville, GA 30506-2437 | 2020-04-30 |
| 1699303602 | Sunni S Lutton | Counselor | 3745 Sw 3rd Pl, Gainesville, FL 32607-2846 | 2020-03-27 |
| 1275163420 | Yarelis Serrano | Counselor | 8763 Sw 27th Ln # 101, Gainesville, FL 32608-9338 | 2020-01-16 |
| 1861039968 | Lori Lynn Mcgruder | Counselor | 1607 Nw 120th Way, Gainesville, FL 32606-5273 | 2019-12-08 |
| 1003467788 | Darcy Pare | Counselor | 10390 Sw 105th Dr, Gainesville, FL 32608-7358 | 2019-09-24 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on KELLY ANN NENEZIAN.
| 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.