MRS. JAZZMIN STAR MADDOX-COLEMAN (NPI# 1366087728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366087728 |
| Entity Type | Individual |
| Full Name | MRS. JAZZMIN STAR MADDOX-COLEMAN |
| Other Name | JAZZMIN STAR MADDOX |
| Credential | LPC |
| Practice Address |
1214 Progressive Dr Ste 101 Chesapeake VA 23320-2848 |
| Mailing Address |
1214 Progressive Dr Chesapeake VA 23320-2848 |
| Practice Telephone | 4789196711 |
| Mailing Telephone | 4789196711 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701008753 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1214 PROGRESSIVE DR STE 101 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760987531 | Stefanie Leigh Scannell | Behavioral Analyst | 1214 Progressive Dr Ste 101, Chesapeake, VA 23320-2848 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
| 1518588839 | Sherry Dinell Lee | Counselor | 3804 Poplar Hill Rd Unit R, Chesapeake, VA 23321-5532 | 2020-04-27 |
| 1649816364 | Margaret Kappler | Counselor | 2619 Cecilia Ter, Chesapeake, VA 23323-3805 | 2019-11-18 |
| 1659928729 | Truvine Telehealth Professionals, LLC | Counselor | 624 Weston Arch, Chesapeake, VA 23325-5035 | 2019-08-22 |
| 1699337113 | Rachel Marlins | Counselor | 1564 Crossways Blvd, Chesapeake, VA 23320-2841 | 2019-07-04 |
| 1720649643 | Deborah Denise Keeler | Counselor | 712 Inlet Quay Apt I, Chesapeake, VA 23320-9297 | 2019-06-21 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1669971529 | Rebekah Cole | Counselor | 1016 Thoroughgood Way Apt 306, Chesapeake, VA 23324-2581 | 2018-02-06 |
| 1558876540 | Sarah Williams-tolliver | Counselor | 1545 Crossways Blvd Ste 265, Chesapeake, VA 23320-0205 | 2017-12-12 |
| 1992242077 | Ashley C Laws | Counselor | 2006 Old Greenbrier Rd Ste 5, Chesapeake, VA 23320 | 2017-01-26 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on MRS. JAZZMIN STAR MADDOX-COLEMAN.
| 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.