COUNSELING AND MEDIATION SERVICES, INC. (NPI# 1306118542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306118542 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND MEDIATION SERVICES, INC. |
| Practice Address |
619 N Cove Blvd Suite A Panama City FL 32401-3642 |
| Practice Telephone | 8508191068 |
| Mailing Telephone | 8508191068 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | DR. ALLEN DALE MARKS (PRESIDENT/LMHC) |
| Authorized Official Telephone | 8508191068 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MH8305 | FL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH8305 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH8305 | FL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
MH8305 | FL | Behavioral Health & Social Service Providers |
| Street Address |
619 N COVE BLVD SUITE A |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219569 | Rebecca Suzanne Hysong | Surgery | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2005-10-18 |
| 1134645567 | Brandy Jean Mciver | Nurse Practitioner | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2017-08-17 |
| 1023547031 | Sarah Rose Gibson | Nurse Practitioner | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2017-06-05 |
| 1003224346 | Elizabeth Ruth Doss | Nurse Practitioner | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2014-07-30 |
| 1255688313 | Jordan Louellen Waldorff | Physician Assistant | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2012-08-08 |
| 1801176540 | Nathan James Thomas | Surgery | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2011-08-25 |
| 1457657926 | Jody Kirk | Nurse Practitioner | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2011-02-01 |
| 1528360963 | Rebecca Breaux Parmer | Nurse Practitioner | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2010-11-17 |
| 1831253061 | Blerina Begolli | Surgery | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2006-12-21 |
| 1568490522 | Christopher K Salvino | Surgery | 619 N Cove Blvd, Panama City, FL 32401-3642 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120432 | Grow Mental Health Services, LLC | Counselor | 3585 Cedar Park Ln, Panama City, FL 32404-3824 | 2020-09-29 |
| 1669719431 | Saba Adhal | Counselor | 3001 Fairmont Dr, Panama City, FL 32405-4350 | 2013-01-13 |
| 1649750290 | Cynthia Lorraine Boshelle | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2018-08-14 |
| 1225424039 | Michael Mclaughlin | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2015-04-08 |
| 1548660392 | Elena Laufer | Counselor | 2711 W. 15th Street, Panama City, FL 32401 | 2014-08-29 |
| 1700011616 | Gary Glenn Kinman | Counselor | 648 Florida Ave, Panama City, FL 32401-6311 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739038 | Lori Carol Helms | Counselor | 311 Us Highway 27 S, Sebring, FL 33870-2106 | 2020-10-29 |
| 1326646407 | Cheryl A Scott | Counselor | 3778 Suffolk Dr, Tallahassee, FL 32309-3005 | 2020-10-12 |
| 1134727274 | Inner Peace Counseling & Wellness | Counselor | 334 E Lake Rd Dept 280, Palm Harbor, FL 34685-2427 | 2020-10-12 |
| 1003413923 | Kristen Thompson | Counselor | 519 Briarwood Dr, Pensacola, FL 32506-6220 | 2020-10-04 |
| 1528675162 | Ct Counseling, LLC | Counselor | 23051 Nw County Road 200a, Lawtey, FL 32058-4215 | 2020-09-28 |
| 1275140170 | Jerrai Rochelle Young | Counselor | 5111 Galloway Rd, Graceville, FL 32440-4309 | 2020-09-25 |
| 1770198129 | Jeanine Smith | Counselor | 7433 Se Marsh Fern Ln, Hobe Sound, FL 33455-7844 | 2020-09-12 |
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1164036059 | Dorelys Raquel Rivera | Counselor | 479 Basking Ridge Ct, Ocoee, FL 34761-1721 | 2020-09-08 |
| 1912519851 | Modern Counseling Solutions | Counselor | 14047 Finsbury Dr, Spring Hill, FL 34609-0783 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
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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.