KENYETTA JEAN-MARIE STATON (NPI# 1396222410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396222410 |
| Entity Type | Individual |
| Full Name | KENYETTA JEAN-MARIE STATON |
| Practice Address |
551 W Lancaster Ave Haverford PA 19041-1419 |
| Mailing Address |
1313 N Hobart St Philadelphia PA 19131-4115 |
| Practice Telephone | 6105254000 |
| Mailing Telephone | 2674617799 |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2018-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
551 W LANCASTER AVE |
| City | HAVERFORD |
| State | PA |
| Zip Code | 19041-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235118407 | Ildiko Korenyi-both | Internal Medicine | 551 W Lancaster Ave, Suite 205, Haverford, PA 19041-1419 | 2006-01-16 |
| 1053931816 | Domenick Miles | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2020-04-22 |
| 1952873416 | Victoria Drummond | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-12-21 |
| 1659849099 | Anthony Austin Jr. | Behavior Technician | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-11-04 |
| 1841774783 | Conor O'brien Smith | Behavior Technician | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-09-17 |
| 1376928754 | Lorenzo Alleyne | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-07-27 |
| 1669867255 | Tynesha Cofield | Behavioral Analyst | 551 W Lancaster Ave, 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-04-01 |
| 1518356740 | Caryn Michelle Hurlock | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-01-12 |
| 1093118820 | Nicole Streets | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2014-10-07 |
| 1861894693 | Shane William Hartie | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285172999 | Linda G Tessler | Psychologist | 103 Green Lane, Haverford, PA 19041 | 2017-02-02 |
| 1255626529 | Haverford College Health Services | Registered Nurse | 370 Lancaster Avenue, Haverford, PA 19041 | 2011-06-15 |
| 1316256050 | Deborah Jean Gunton | Psychologist | 349 West Lancaster Avenue, Suite 201, Haverford, PA 19041 | 2010-09-29 |
| 1629390695 | Moira L Kowalczyk | Occupational Therapist | 551 West Lancaster Avenue, Haverford, PA 19041 | 2010-02-18 |
| 1528398724 | John Antoniades | Radiology | 404 Richard Knoll, Haverford, PA 19041 | 2010-01-11 |
| 1215264262 | Robert Frederick Plotkin | Pediatrics | 3300 Darby Rd., Apt 1310, Haverford, PA 19041 | 2009-11-12 |
| 1396984662 | Joel E Wasley | Dentist | 268 West Montgomery Avenue, Haverford, PA 19041 | 2009-02-11 |
| 1538325105 | Joseph Anthony Gwiszcz Jr. | Pediatrics | 600 Haverford Road., Suite 100, Haverford, PA 19041 | 2008-08-04 |
| 1619142262 | Gregory Stephen Wilson | Occupational Therapist | 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 | 2008-04-24 |
| 1972790319 | Lene H Larsen | Psychologist | 349 W. Lancaster Avenue, Suite 103, Haverford, PA 19041 | 2007-10-01 |
| Find all providers in zip 19041 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231191 | Kristina S Ferrari | Counselor | 551 W Lancaster Ave Ste 212, Haverford, PA 19041-1419 | 2019-02-20 |
| 1801012711 | The Art of Friendship Social Skills Program, PC | Counselor | 600 Haverford Rd Ste G101, Haverford, PA 19041-1139 | 2007-04-18 |
| 1285233130 | Celeste Wade | Counselor | 600 Haverford Rd Ste G101, Haverford, PA 19041-1139 | 2020-10-21 |
| 1619580495 | Brenda Del Carmen | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2020-08-31 |
| 1891340493 | Megan Klobedanz | Counselor | 600 Haverford Rd, Haverford, PA 19041-1139 | 2019-08-09 |
| 1255894895 | Marlo Hall | Counselor | 551 W Lancaster Ave Ste 212, Haverford, PA 19041-1419 | 2019-04-10 |
| 1861961203 | Lauren Elizabeth Keith | Counselor | 600 Haverford Rd Ste G104, Haverford, PA 19041-1139 | 2018-11-14 |
| 1952842296 | Nanette Farrell | Counselor | 600 Haverford Rd Ste 201, Haverford, PA 19041-1139 | 2017-03-20 |
| 1093118820 | Nicole Streets | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2014-10-07 |
| 1386932366 | Main Line Therapy Solutions, LLC | Counselor | 600 Haverford Rd, Suite G104, Haverford, PA 19041-1139 | 2011-07-12 |
| Find all providers in HAVERFORD | ||||
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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.