MISS MARIE MIRTA JEAN (NPI# 1235438458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235438458 |
| Entity Type | Individual |
| Full Name | MISS MARIE MIRTA JEAN |
| Practice Address |
9 Canton St Randolph MA 02368-2424 |
| Practice Telephone | 7819864800 |
| Practice Fax Number | 7819864801 |
| Mailing Telephone | 7819864800 |
| Mailing Fax Number | 7819864801 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861858854 | Marie Jean | Licensed Practical Nurse | 25 Karnell St, Spring Valley, NY 10977-3711 | 2016-01-07 |
| 1275998569 | Marie Jean II | Community/Behavioral Health | 472 Crestmont Ln, Canton, GA 30114-8860 | 2015-12-31 |
| 1619349115 | Marie Jean | Registered Nurse | 22 Mill Ln, Medford, NY 11763-1662 | 2015-10-22 |
| 1255501433 | Marie Alberte Jean | Home Health | 5513 Nw Thyer Cir, Port St Lucie, FL 34983 | 2008-03-04 |
| 1700283389 | Marie Jean | Nurse Practitioner | 79 Middleville Rd, Building 92, Nursing Home 2, Northport, NY 11768-2200 | 2014-11-26 |
| 1598008641 | Marie Jean | Technician | 12401 Orange Dr, Suite 219, Davie, FL 33330-4341 | 2013-03-27 |
| 1811235922 | Marie H Jean | Nurse's Aide | 22 North St, Jaffrey, NH 03452-5340 | 2013-01-24 |
| 1225306665 | Marie Jean | Technician | 12401 Orange Dr, Suite 219, Davie, FL 33330-4341 | 2011-12-13 |
| 1679854970 | Marie S Jean | Licensed Practical Nurse | 120 W John St, Hicksville, NY 11801-1020 | 2011-08-31 |
| 1023297074 | Marie F Jean | Dental Hygienist | 5431 Myrtle Ave, Ridgewood, NY 11385-3403 | 2007-10-26 |
| Street Address |
9 CANTON ST |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942459375 | Lannie Lee | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2008-09-10 |
| 1023382058 | New Life Counseling & Wellness Center | Social Worker | 9 Canton St, Randolph, MA 02368 | 2012-03-08 |
| 1083984033 | Carmen Elizabeth Cabrera | Case Manager/Care Coordinator | 9 Canton St, Randolph, MA 02368-2424 | 2012-01-09 |
| 1528348216 | Ilana Marram | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2011-08-25 |
| 1699080556 | Stephanie Isabel Sousa | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-08-16 |
| 1174834477 | Rebecca Randolph Allen | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-07-01 |
| 1609197847 | Galen Luther Stone | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-06-22 |
| 1679894026 | Jean D Guilloteau | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-06-21 |
| 1346561354 | New Life Counseling | Community/Behavioral Health | 9 Canton St, Randolph, MA 02368-2424 | 2010-06-14 |
| 1972820645 | Stephanie T Chang | Social Worker | 9 Canton St, Randolph, MA 02368-2424 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780156000 | Taisha Dorsainvil | Counselor | 43 Highland Ave Apt 26, Randolph, MA 02368-4525 | 2018-12-27 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1215314992 | Lyonel Traversiere | Counselor | 58 Althea Rd, Randolph, MA 02368-2950 | 2015-05-01 |
| 1063849768 | Patrice Augustin | Counselor | 7 Smith Rd, Randolph, MA 02368-2941 | 2013-09-26 |
| 1497007959 | Briget Bride | Counselor | 14 Darrell Dr, Randolph, MA 02368-4810 | 2012-10-09 |
| 1770857211 | Rosita Camarao | Counselor | 14101 Chestnut W, Randolph, MA 02368-6359 | 2012-03-01 |
| 1063714384 | Daphne Rollande Claudomir | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368 | 2010-11-18 |
| 1942459375 | Lannie Lee | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2008-09-10 |
| 1144820267 | Michael Teixeira | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2020-10-28 |
| 1346863693 | Brian Gonsalves | Counselor | 248 High St, Randolph, MA 02368-1837 | 2020-05-21 |
| Find all providers in RANDOLPH | ||||
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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.