DISC VILLAGE, INC. (NPI# 1245571181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245571181 |
| Entity Type | Organization |
| Organization Name | DISC VILLAGE, INC. |
| Practice Address |
1000 W Tharpe St Suite 16 Tallahassee FL 32303-5374 |
| Mailing Address |
3333 W Pensacola St Suite 330 Tallahassee FL 32304-2888 |
| Practice Telephone | 8504870432 |
| Practice Fax Number | 8504870431 |
| Mailing Telephone | 8505754388 |
| Mailing Fax Number | 8505763317 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | THOMAS K. OLK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8504886700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0237AD133807 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1255672192 | Disc Village, Inc. | Community/Behavioral Health | 305b W Crawford St, Quincy, FL 32351-3121 | 2013-03-01 |
| 1417297763 | Disc Village, Inc. | Community/Behavioral Health | 603 S M L King Jr Blvd, Tallahassee, FL 32301 | 2013-02-25 |
| 1609104652 | Disc Village, Inc. | Foster Care Agency | 10914 Recovery Way, Tallahassee, FL 32305-1847 | 2009-12-03 |
| 1912077017 | Disc Village, Inc. | Community/Behavioral Health | 69 High Dr, Crawfordville, FL 32327-2032 | 2006-11-08 |
| 1780754853 | Disc Village, Inc. | Community/Behavioral Health | 1476 Sw Main St, Greenville, FL 32331-3149 | 2006-11-08 |
| 1376613463 | Disc Village, Inc. | Community/Behavioral Health | 411 Us Highway 98, Apalachicola, FL 32320-1238 | 2006-11-08 |
| 1497825350 | Disc Village, Inc. | Community/Behavioral Health | 2967 Natural Bridge Road, Woodville, FL 32362-0568 | 2006-11-08 |
| 1487619391 | Disc Village, Inc. | Substance Abuse Rehabilitation Facility | 3333 W Pensacola St, Tallahassee, FL 32304-2888 | 2006-04-20 |
| Street Address |
1000 W THARPE ST SUITE 16 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164563979 | Melanie Susan Webb | Counselor | 1000 W Tharpe St, Tallahassee, FL 32303-5374 | 2007-02-12 |
| 1689213308 | Jennifer Dobritch | Counselor | 1000 W Tharpe St, Tallahassee, FL 32303-5374 | 2019-12-27 |
| 1063981371 | Kinsey Christine Seacord | Counselor | 1000 W Tharpe St, Tallahassee, FL 32303-5374 | 2018-11-15 |
| 1891173266 | Falyn Morris | Social Worker | 1000 W Tharpe St, Suite 7, Tallahassee, FL 32303-5374 | 2015-05-18 |
| 1851793756 | Erika Rose Martin | Counselor | 1000 W Tharpe St, Suite 7, Tallahassee, FL 32303-5374 | 2014-09-23 |
| 1275934697 | Carrie Tillett-saks | Counselor | 1000 W Tharpe St, Suite 7, Tallahassee, FL 32303-5374 | 2014-09-05 |
| 1144647637 | Geriann Thompson | Counselor | 1000 W Tharpe St, Suite 7, Tallahassee, FL 32303-5374 | 2014-03-24 |
| 1265868871 | Grant Lawrence | Social Worker | 1000 W Tharpe St, Suite. 7, Tallahassee, FL 32303-5374 | 2013-09-16 |
| 1619225794 | Bobbi Nicole Mount | Counselor | 1000 W Tharpe St, Suite 7, Tallahassee, FL 32303-5374 | 2012-08-21 |
| 1689922767 | Abede Fitzroy Tesfa | Counselor | 1000 W Tharpe St, Suite 7, Tallahassee, FL 32303-5374 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1477041028 | Pediatric Aba 3 Inc | Community/Behavioral Health | 3011 Powell Rd Ste 3a, Tallahassee, FL 32308-6230 | 2018-04-30 |
| 1972957918 | David Steingart Counseling LLC | Community/Behavioral Health | 1682 Metropolitan Cir, Tallahassee, FL 32308-7752 | 2016-04-15 |
| 1982079091 | Ieisha Farrell | Community/Behavioral Health | 708 Pointe Ct Apt A, Tallahassee, FL 32308-6170 | 2015-12-01 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1225418387 | Robert Osborne | Community/Behavioral Health | 2408 Ionic Ct, Tallahassee, FL 32303-3516 | 2015-06-04 |
| 1174964050 | Peterkins Mental Health & Substance Abuse Services, Inc. | Community/Behavioral Health | 2444 Nugget Ln, Tallahassee, FL 32303-3726 | 2013-07-08 |
| 1750726147 | Maki Psychological Services, LLC | Community/Behavioral Health | 4037 Mcleod Dr, Tallahassee, FL 32303-7117 | 2013-04-30 |
| 1962846667 | Open Arms Home Care | Community/Behavioral Health | 2365 Centerville Rd # L-5, Tallahassee, FL 32308-4317 | 2013-04-24 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
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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.