KATHLEEN ANNE ANDERSON (NPI# 1356632921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356632921 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANNE ANDERSON |
| Other Name | KATHLEEN ANNE KOUIS |
| Credential | LMHC |
| Practice Address |
9140 Golfside Dr 12n Jacksonville FL 32256-1881 |
| Mailing Address |
6221 Lake Lugano Dr Jacksonville FL 32256-8438 |
| Practice Telephone | 9043277192 |
| Mailing Telephone | 9043277192 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4062 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391779 | Kathleen Anderson | Speech-Language Pathologist | 832 Mccauley Rd, Mount Vernon, IL 62864-5766 | 2020-09-16 |
| 1306454020 | Kathleen O Anderson | Registered Nurse | 29721 Westminster Dr, North Olmsted, OH 44070-5070 | 2020-07-20 |
| 1922637602 | Kathleen Marie Anderson | Marriage & Family Therapist | 359 Trollingwood Rd, Haw River, NC 27258-8749 | 2020-04-05 |
| 1043863236 | Kathleen Louise Anderson | Social Worker | 9206 17th Ave Ne, Seattle, WA 98115-3214 | 2019-07-17 |
| 1457889800 | Kathleen Diane Anderson | Nurse Practitioner | 152 Old State Highway 8 N, Mount Upton, NY 13809-4230 | 2017-05-30 |
| 1245603737 | Kathleen Anderson | Registered Nurse | 5027 Astilbe Path, Liverpool, NY 13088-2181 | 2015-11-05 |
| 1992175574 | Kathleen Anderson | Social Worker | 2424 S 90th St Ste 502, West Allis, WI 53227-2455 | 2015-09-25 |
| 1679902811 | Kathleen Marie Anderson | Marriage & Family Therapist | 930 Shiloh Rd, Bldg 44, Ste. G, Windsor, CA 95492-9659 | 2013-11-07 |
| 1124378351 | Kathleen C. Anderson | Speech-Language Pathologist | 15873 Flying Jib Dr., Azle, TX 76020 | 2012-09-14 |
| 1730443672 | Kathleen Anderson | Specialist | 28 Stewart St, Floral Park, NY 11001-2911 | 2012-06-26 |
| Street Address |
9140 GOLFSIDE DR 12N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-1881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902971286 | Richard Harry Fulton | Marriage & Family Therapist | 9140 Golfside Dr, Suite 4 S, Jacksonville, FL 32256-1881 | 2006-11-21 |
| 1811309925 | Kathleen Anderson, Lmhc, LLC | Counselor | 9140 Golfside Dr, Suite 12n, Jacksonville, FL 32256-1881 | 2014-05-22 |
| 1437420429 | David C Schantz | Acupuncturist | 9140 Golfside Dr, Suite #7 S, Jacksonville, FL 32256-1881 | 2012-01-23 |
| 1841522497 | My Care of North Florida | Home Health | 9140 Golfside Dr, # 8s, Jacksonville, FL 32256-1881 | 2010-02-08 |
| 1598929879 | The Guidance Clinic, Inc. | Marriage & Family Therapist | 9140 Golfside Dr, #4s, Jacksonville, FL 32256-1881 | 2008-07-15 |
| 1073711933 | Kimberley Saft Rentschler | Social Worker | 9140 Golfside Dr, Unit 9n, Jacksonville, FL 32256-1881 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1831700848 | Anil Suthar | Counselor | 11776 Wattle Tree Rd N, Jacksonville, FL 32246-9751 | 2020-08-12 |
| 1700496494 | Debra Jones Lewis | Counselor | 2416 Christi Lakes Ct, Jacksonville, FL 32221-3891 | 2020-08-06 |
| 1992356117 | Nicole Wojcik | Counselor | 221 New Bridge St, Jacksonville, NC 28540-4736 | 2019-09-28 |
| 1700435401 | Lori Svendsen Brown | Counselor | 824 Gum Branch Rd Ste 0, Jacksonville, NC 28540-6272 | 2019-09-05 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1144708157 | Anastasia Marie Judge-arauz | Counselor | 187 Howard Rd, Jacksonville, NC 28540-9332 | 2018-08-01 |
| 1720593072 | Cherae Miles | Counselor | 862 Bunker Hill Blvd, Jacksonville, FL 32208-3220 | 2017-12-08 |
| 1083127476 | Heather Watkins | Counselor | 113 Philip St, Jacksonville, TX 75766-3781 | 2017-11-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on KATHLEEN ANNE ANDERSON.
| 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.