JEREMY JASON RAY (NPI# 1174089254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174089254 |
| Entity Type | Individual |
| Full Name | JEREMY JASON RAY |
| Practice Address |
203 Central Park Ln Ste A Seneca SC 29678 |
| Mailing Address |
203 Central Park Ln Ste A Seneca SC 29678-1156 |
| Practice Telephone | 8649731359 |
| Mailing Telephone | 8649731359 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| 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 |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 309 E Main St, Pickens, SC 296712319 | 3306395336 | |
| 309 E Main St, Pickens, SC 296712319 | 8648985800 |
| Street Address |
203 CENTRAL PARK LN STE A |
| City | SENECA |
| State | SC |
| Zip Code | 29678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871097022 | Donna Smathers Beebe | Social Worker | 203 Central Park Ln Ste A, Seneca, SC 29678-1156 | 2018-03-22 |
| 1134625809 | Misti Dawn Brien | Social Worker | 203 Central Park Ln Ste A, Seneca, SC 29678-1156 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
| 1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
| 1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
| 1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
| 1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
| 1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
| 1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
| 1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
| 1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
| Find all providers in zip 29678 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013488311 | Shaping Lives Counseling LLC | Counselor | 800 Whitworth Cir Ste C, Seneca, SC 29672-9432 | 2018-12-12 |
| 1194046532 | Laurie C Jordan | Counselor | 810 W South 4th St, Seneca, SC 29678-3324 | 2010-06-21 |
| 1740425313 | Bliss Counseling, LLC | Counselor | 301 Wynswept Pt, Seneca, SC 29672-7084 | 2008-12-10 |
| 1780766022 | Catholic Charities of Northeast Kansas Inc | Counselor | 411 Elk St, Seneca, KS 66538-1679 | 2006-10-19 |
| 1467469247 | Personal Creations Mental Health Therapy | Counselor | 2140 State Route 257, Seneca, PA 16346 | 2006-08-02 |
| 1841831138 | Annette Jolene Carpenter | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2019-10-08 |
| 1083183610 | Brianna Giannini | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2018-11-13 |
| 1245746957 | Sandra Stone Campbell | Counselor | 115 Carter Park Dr, Seneca, SC 29678-1152 | 2017-12-18 |
| 1578921342 | Melicia Ivette Tanner | Counselor | 139 Lila Doyle Dr, Seneca, SC 29672-9495 | 2016-02-08 |
| 1174950414 | Jeanne Malmgren Melvin | Counselor | 206 W North 1st St, Seneca, SC 29678-3250 | 2013-10-01 |
| Find all providers in SENECA | ||||
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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.