JULIANNE KERAGHAN (NPI# 1235682352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235682352 |
| Entity Type | Individual |
| Full Name | JULIANNE KERAGHAN |
| Credential | M.ED |
| Practice Address |
12497 Tamiami Trl S North Port FL 34287-1447 |
| Mailing Address |
1565 State St Sarasota FL 34236-5808 |
| Practice Telephone | 9414924300 |
| Mailing Telephone | 9419278900 |
| Mailing Fax Number | 9419267122 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| 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 |
| Street Address |
12497 TAMIAMI TRL S |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34287-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247968 | Thomas George Glaza | Counselor | 12497 Tamiami Trl S, Suite #9, North Port, FL 34287-1447 | 2005-12-28 |
| 1134576564 | Sheryl White | Counselor | 12497 Tamiami Trl S, Suite 4, North Port, FL 34287-1447 | 2016-05-16 |
| 1104206333 | Joy Weer | Case Manager/Care Coordinator | 12497 Tamiami Trl S, Unit 4, North Port, FL 34287-1447 | 2015-06-03 |
| 1669865929 | Marylynn Cz Cz | Social Worker | 12497 Tamiami Trl S, Suite 4, North Port, FL 34287-1447 | 2015-03-11 |
| 1790806339 | Kathleen Louise Newland | Social Worker | 12497 Tamiami Trl S, Suite 9, North Port, FL 34287-1447 | 2007-04-02 |
| 1689603698 | Gary Roy Paben | Physical Therapist | 12497 Tamiami Trl S, Suite 12, North Port, FL 34287-1447 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619323 | Fresenius Medical Care North Port, LLC | Clinic/Center | 12480 Tamiami Trl S, North Port, FL 34287 | 2018-05-14 |
| 1982106464 | Sweetwater Oaks Assisted Living | Assisted Living Facility | 2820 Pan American Blvd, North Port, FL 34287 | 2018-03-01 |
| 1114446218 | Shore Dental, LLC | Dentist | 4901 White Ibis Drive, North Port, FL 34287 | 2017-09-11 |
| 1245645191 | Timmy Truong | Podiatrist | 12757 S. Tamiami Trail, North Port, FL 34287 | 2014-06-29 |
| 1063833671 | Vitaly Rehab Incorporated | Clinic/Center | 12450 Timiami Trail, Suite-e, North Port, FL 34287 | 2013-12-27 |
| 1053744557 | Tiesha Quality Care, LLC. | In Home Supportive Care | 8767 Culebra Ave, North Port, FL 34287 | 2013-08-20 |
| 1811235427 | America's Best Contacts & Eyeglasses | Technician/Technologist | 18467 South Tamiami Trail, North Port, FL 34287 | 2013-01-17 |
| 1043557929 | Joseph E Lacombe | Pharmacist | 1291 S. Sumter Blvd, North Port, FL 34287 | 2013-01-11 |
| 1568621837 | Daniel M Barr Dc | Chiropractor | 4361 Aidan Ln, North Port, FL 34287 | 2008-06-03 |
| 1174712541 | Michael Dwayne Hibbs | Nurse Practitioner | 18659 Tamiami Trail, Suite A, North Port, FL 34287 | 2007-10-22 |
| Find all providers in zip 34287 | ||||
| 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 |
|---|---|---|---|---|
| 1710588322 | Rebecca Ann Heald | Counselor | 2430 Duncan Dr, Niceville, FL 32578-2916 | 2020-11-02 |
| 1598366171 | Neurodiverse Ability Services LLC | Counselor | 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 | 2020-11-02 |
| 1316547839 | Amber Kovach | Counselor | 8290 Matisse St, Champions Gate, FL 33896-8334 | 2020-10-26 |
| 1760081202 | Nih Holdings LLC | Counselor | 7711 N Military Trl Ste 1014, West Palm Beach, FL 33410-6506 | 2020-10-24 |
| 1346849072 | Blanca Rodriguez | Counselor | 1201 Lavender Jewel Ct, Plant City, FL 33563-2515 | 2020-10-23 |
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1306444989 | Robert A Fahey | Counselor | 3927 Vine Tree Trl Apt A, Lake Worth, FL 33467-8540 | 2020-10-15 |
| 1952909178 | Elizabeth Leon | Counselor | 1067 Nw 119th St, North Miami, FL 33168-6240 | 2020-10-09 |
| 1518564301 | Lisa Chhabra | Counselor | 504 Pelican Ln N, Jupiter, FL 33458-8365 | 2020-10-05 |
| 1124635081 | Always Behavioral Counseling Services | Counselor | 5724 Byron Anthony Pl Apt 338, Sanford, FL 32771-8633 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PORT |
| Zip Code | 34287 |
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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.