ELLIETON BOBBY LEWIS (NPI# 1487203469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487203469 |
| Entity Type | Individual |
| Full Name | ELLIETON BOBBY LEWIS |
| Practice Address |
1825 Nw 167th St Miami Gardens FL 33056-4838 |
| Practice Telephone | 7862633392 |
| Practice Fax Number | 3056237893 |
| Mailing Telephone | 7862633392 |
| Mailing Fax Number | 3056237893 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1891859575 | 05 |
| Street Address |
1825 NW 167TH ST |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33056-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277792 | Shena Mayas | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2020-08-26 |
| 1326671934 | Chekelia Karen Rahming | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2020-02-21 |
| 1265086060 | Melanie Kucharski | Dentist | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2019-07-30 |
| 1740755107 | Debra Robin Thomas | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-10-11 |
| 1366924557 | Julienne Jean | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-09-04 |
| 1992287262 | Nyto Lacroix | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-09-04 |
| 1952883688 | Valerie Lynn Dukes | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-08-29 |
| 1225534845 | Daneisha Tranette Freeman | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-04-03 |
| 1093223422 | Heather M Atkinson | Case Manager/Care Coordinator | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-01-19 |
| 1477067213 | Kevin Gibson II | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1144759531 | Spirit Residential Group Home | Clinic/Center | 17311 N.w 33 Ct, Miami Gardens, FL 33056 | 2017-06-08 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| Find all providers in zip 33056 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057212 | Christina Geraci Rosenberg | Counselor | 1515 Nw 167th St Ste 180, Miami Gardens, FL 33169-5145 | 2020-03-10 |
| 1508335464 | Claretha Harris | Counselor | 71 Ne 187th St, Miami Gardens, FL 33179-4413 | 2018-11-20 |
| 1235687559 | Luchanna Stewart | Counselor | 18620 Nw 22nd Ave, Miami Gardens, FL 33056-3206 | 2016-09-15 |
| 1821229121 | Emilio Silva | Counselor | 21001 Nw 27th Ave, Miami Gardens, FL 33056-1461 | 2009-08-04 |
| 1730321613 | Wanda Brantley | Counselor | 1825 Nw 167th St Ste 102, Miami Gardens, FL 33056-4838 | 2009-03-24 |
| 1174158224 | Meghan Elizabeth Wilde | Counselor | 1515 Nw 167th St Ste 180, Miami Gardens, FL 33169-5145 | 2020-03-10 |
| 1215463476 | Chavekka Edwards | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056 | 2017-05-10 |
| 1558733386 | Princess Briggs | Counselor | 18425 Nw 2nd Ave, Miami Gardens, FL 33169-4534 | 2015-10-20 |
| 1376858738 | Debora Dejesus | Counselor | 1000 Park Centre Blvd, Ste# 138, Miami Gardens, FL 33169-5373 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588322 | Rebecca Ann Heald | Counselor | 2430 Duncan Dr, Niceville, FL 32578-2916 | 2020-11-02 |
| 1598366171 | Neurodiverse Ability Services LLC | Counselor | 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 | 2020-11-02 |
| 1316547839 | Amber Kovach | Counselor | 8290 Matisse St, Champions Gate, FL 33896-8334 | 2020-10-26 |
| 1760081202 | Nih Holdings LLC | Counselor | 7711 N Military Trl Ste 1014, West Palm Beach, FL 33410-6506 | 2020-10-24 |
| 1346849072 | Blanca Rodriguez | Counselor | 1201 Lavender Jewel Ct, Plant City, FL 33563-2515 | 2020-10-23 |
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1306444989 | Robert A Fahey | Counselor | 3927 Vine Tree Trl Apt A, Lake Worth, FL 33467-8540 | 2020-10-15 |
| 1952909178 | Elizabeth Leon | Counselor | 1067 Nw 119th St, North Miami, FL 33168-6240 | 2020-10-09 |
| 1518564301 | Lisa Chhabra | Counselor | 504 Pelican Ln N, Jupiter, FL 33458-8365 | 2020-10-05 |
| 1124635081 | Always Behavioral Counseling Services | Counselor | 5724 Byron Anthony Pl Apt 338, Sanford, FL 32771-8633 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33056 |
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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.