DR. ASHLEY KENNEDY IBBOTSON (NPI# 1508383589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508383589 |
| Entity Type | Individual |
| Full Name | DR. ASHLEY KENNEDY IBBOTSON |
| Credential | PHD |
| Practice Address |
604 Strada Cir Mansfield TX 76063-3201 |
| Practice Telephone | (817) 453-2400 |
| Mailing Telephone | 8174532400 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
604 STRADA CIR |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534565 | The Jones Center for Children's Therapy and Assessment | Psychologist | 604 Strada Cir, Mansfield, TX 76063 | 2011-10-07 |
| 1841815875 | Stephanie E Wilson | Counselor | 604 Strada Cir, Mansfield, TX 76063-3201 | 2020-06-16 |
| 1639737638 | Sharaya Matheson | Counselor | 604 Strada Cir, Mansfield, TX 76063-3201 | 2019-06-04 |
| 1013434786 | Jennifer S Williams | Psychologist | 604 Strada Cir, Mansfield, TX 76063-3201 | 2017-08-24 |
| 1376918177 | Angelica Campbell | Counselor | 604 Strada Cir, Mansfield, TX 76063-3201 | 2015-12-04 |
| 1073947289 | Caroline Brenner | Counselor | 604 Strada Cir, Mansfield, TX 76063-3201 | 2013-08-23 |
| 1083962146 | Enjole Dionne Delgado | Counselor | 604 Strada Cir, Mansfield, TX 76063-3201 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765734 | Katarina Alexandra Radovsky | Counselor | 792 West St Apt G106, Mansfield, MA 02048-4109 | 2020-06-22 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1972027217 | Raiyawna Gatlin | Counselor | 419 Washington Ave, Mansfield, LA 71052-3103 | 2017-07-28 |
| 1457875932 | Derrick Francis Martin | Counselor | 1601 Nantucket Dr, Mansfield, OH 44904-2147 | 2017-07-27 |
| 1356879340 | Rachel Michelle Slack | Counselor | 751 Highway 287 N Ste 103, Mansfield, TX 76063-6604 | 2017-06-02 |
| 1134650526 | Lovia Hunter | Counselor | 317 Murphy St, Mansfield, LA 71052-4140 | 2017-03-27 |
| 1619412848 | Patricia Mcgrew | Counselor | 502 Hollyberry Dr, Mansfield, TX 76063-3640 | 2016-12-26 |
| Find all providers in MANSFIELD | ||||
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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.