MARY EPPS (NPI# 1285055335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285055335 |
| Entity Type | Individual |
| Full Name | MARY EPPS |
| Credential | CADC |
| Practice Address |
2514 N Broad St Phila PA 19132-4013 |
| Practice Telephone | 2155998914 |
| Practice Fax Number | 2152261278 |
| Mailing Telephone | 2155998914 |
| Mailing Fax Number | 2152261278 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
555666111 | PA | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | 555666111 | PA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366807711 | Mary Rebecca Epps | Nurse Practitioner | 1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347 | 2015-12-29 |
| 1952740326 | Mary Ann Epps | Emergency Medical Technician, Basic | 4001 E Palmetto St, Florence, SC 29506 | 2013-06-19 |
| Street Address |
2514 N BROAD ST |
| City | PHILA |
| State | PA |
| Zip Code | 19132-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699112722 | Crystal Miller | Counselor | 2514 N Broad St, Phila, PA 19132-4013 | 2013-05-30 |
| 1215293774 | Starlin L Gibbs | Counselor | 2514 N Broad St, Phila, PA 19132-4013 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
| 1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
| 1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
| 1437565157 | Mental Health Partnerships | Community/Behavioral Health | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
| 1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
| Find all providers in zip 19132 | ||||
| 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 |
|---|---|---|---|---|
| 1447498837 | Mother Care Inc. | Community/Behavioral Health | 6423 Clearview St, Phila, PA 19119-2041 | 2009-01-23 |
| 1699956854 | Philadelphia Health Management Corp | Community/Behavioral Health | 4329 Griscom St, Phila, PA 19124-5021 | 2007-11-16 |
| 1730224338 | Intercommunity Action, Inc | Community/Behavioral Health | 6000 Ridge Ave, Levering School, Phila, PA 19128-1643 | 2007-02-21 |
| 1720122815 | Intercommunity Action Inc | Community/Behavioral Health | 4301 Wayne Ave, Steel School, Phila, PA 19140-1717 | 2007-02-20 |
| 1063556181 | Intercommunity Action, Inc | Community/Behavioral Health | 4667 Umbria St, Phila, PA 19127-1929 | 2007-02-20 |
| 1467597468 | Intercommunity Action, Inc | Community/Behavioral Health | 6012 Ridge Ave, Phila, PA 19128-1697 | 2007-02-20 |
| 1285778316 | Intercommunity Action, Inc | Community/Behavioral Health | 3500 Midvale Ave, Phila, PA 19129 | 2007-02-20 |
| 1356486062 | Intercommunity Action, Inc | Community/Behavioral Health | 535 Shawmont Ave, Shawmont School, Phila, PA 19128-4032 | 2007-02-20 |
| 1285778399 | Intercommunity Action, Inc | Community/Behavioral Health | 1526 Fairmount Ave, Phila, PA 19130-2910 | 2007-02-20 |
| 1134264013 | Intercommunity Action, Inc | Community/Behavioral Health | 201 E Salaignac St, Phila, PA 19128-3763 | 2007-02-20 |
| Find all providers in PHILA | ||||
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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.