EMERY JEFFERIES (NPI# 1265709364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265709364 |
| Entity Type | Individual |
| Full Name | EMERY JEFFERIES |
| Credential | LGSW |
| Practice Address |
1400 Mercantile Ln #232 Largo MD 20774-5341 |
| Practice Telephone | 3015830001 |
| Mailing Telephone | 3015830001 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
609588 | MD | Behavioral Health & Social Service Providers |
| Street Address |
1400 MERCANTILE LN #232 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596690 | Barbara Christine Williamson | Dermatology | 1400 Mercantile Ln, Ste#110, Largo, MD 20774-5341 | 2005-08-28 |
| 1699229021 | Growth Connections LLC | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-08-15 |
| 1164884151 | Shirelle Wright | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-03-28 |
| 1003214891 | Livin' The Light, LLC | Case Manager/Care Coordinator | 1400 Mercantile Ln, Suite 208, Largo, MD 20774-5341 | 2014-12-11 |
| 1669716395 | Visage Dermatology and Aesthetic Center, LLC | Dermatology | 1400 Mercantile Ln, Suite 110, Largo, MD 20774-5341 | 2012-11-19 |
| 1831485911 | Timothy Pass | Clinic/Center | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-06-27 |
| 1972897767 | Linda Uwanaka Ebonine | Physician Assistant | 1400 Mercantile Ln, Suite 200, Largo, MD 20774-5341 | 2011-06-08 |
| 1184916975 | Patrice Amos Brown | Occupational Therapist | 1400 Mercantile Ln, 240, Largo, MD 20774-5341 | 2011-05-11 |
| 1467751289 | Yvonne D Loftin-woodard | Social Worker | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-03-18 |
| 1972801272 | Marquitta Lynn Duvernay | Counselor | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681572 | Daine Barlow | Counselor | 3660 E Bay Dr Apt 1316, Largo, FL 33771-1942 | 2020-08-28 |
| 1346866720 | Jordan Stephen Wyns | Counselor | 11220 Oakhurst Rd, Largo, FL 33774-4447 | 2020-06-22 |
| 1922641059 | Jaclyn Settje Settje | Counselor | 1000 10th St Sw, Largo, FL 33770-4433 | 2019-10-22 |
| 1043851850 | Taquera M Riou | Counselor | 13500 Rodgers Ave Apt 308, Largo, FL 33771-4953 | 2019-10-02 |
| 1134774243 | Vaylah B Clinton | Counselor | 9500 Medical Center Dr Ste 106, Largo, MD 20774-3711 | 2019-08-06 |
| 1083273122 | Abbie Rolf | Counselor | 1000 Belcher Rd S Ste 3, Largo, FL 33771-3307 | 2019-06-12 |
| 1457813743 | Jessica Pitt Lombardo | Counselor | 801 W Bay Dr Ste 340, Largo, FL 33770-3220 | 2019-04-04 |
| 1346711363 | Transitions Counseling and Mentoring Services Inc. | Counselor | 9500 Medical Center Dr Ste 432, Largo, MD 20774-3716 | 2018-12-17 |
| 1710455787 | Empowerment Therapeutic Counseling,llc | Counselor | 1401 Mercantile Ln Ste 200l, Largo, MD 20774-4311 | 2018-11-08 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| Find all providers in LARGO | ||||
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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.