JESSE LEE GRIFFIN (NPI# 1639475031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639475031 |
| Entity Type | Individual |
| Full Name | JESSE LEE GRIFFIN |
| Credential | PHD, LCPC, NCC |
| Practice Address |
7700 Old Branch Ave Suite D103 Clinton MD 20735-1628 |
| Mailing Address |
6368 Coventry Way #386 Clinton MD 20735-2256 |
| Practice Telephone | 8772143668 |
| Practice Fax Number | 8775992585 |
| Mailing Telephone | 8772143668 |
| Mailing Fax Number | 8775992585 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC3005 | Behavioral Health & Social Service Providers | |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
LC3005 | MD | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
0701004903 | VA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PRC14059 | DC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LC3005 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 040066100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720376809 | Jesse Clark Griffin IIi | Counselor | 653 E. Rocket Road, Lorena, TX 76655 | 2011-07-11 |
| Street Address |
7700 OLD BRANCH AVE SUITE D103 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468841 | Philip L Briley | Psychologist | 7700 Old Branch Ave, Ste B105, Clinton, MD 20735-1628 | 2005-06-22 |
| 1003264243 | Mind Over Matter Health Services | Community/Behavioral Health | 7700 Old Branch Ave, B204, Clinton, MD 20735-1628 | 2016-05-27 |
| 1982050472 | Hagar Healthcare | Occupational Therapist | 7700 Old Branch Ave, Suite E 208, Clinton, MD 20735-1628 | 2016-05-13 |
| 1164889390 | Gregory Beacham II | Massage Therapist | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2016-01-19 |
| 1013389121 | Brittany Deloatch | Counselor | 7700 Old Branch Ave, D103, Clinton, MD 20735-1628 | 2015-10-28 |
| 1750775268 | Southern Maryland Endoscopy Center Anesthesia | Internal Medicine | 7700 Old Branch Ave, Suite A103, Clinton, MD 20735-1628 | 2015-03-23 |
| 1356739098 | John P. Hakim, Md and Associates | Internal Medicine | 7700 Old Branch Ave, Suite E105, Clinton, MD 20735-1628 | 2015-01-05 |
| 1528466190 | Petra Patterson | Nursing Home Administrator | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-12-15 |
| 1427455088 | Deanna Sharpe | Nurse Practitioner | 7700 Old Branch Ave, D203, Clinton, MD 20735-1628 | 2014-11-25 |
| 1760889497 | Floss Family Dentistry, LLCs | Dentist | 7700 Old Branch Ave, D105, Clinton, MD 20735-1628 | 2014-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832882 | Lativia S Brown | Counselor | 9500 Baymar Ct, Clinton, MD 20735-3399 | 2020-08-22 |
| 1013570449 | Jennifer Marie Bartkowiak | Counselor | 2 Williams St Ste 1, Clinton, NY 13323-1748 | 2019-04-22 |
| 1295290609 | Alexis Marie Coleman | Counselor | 205 Shields St, Clinton, NC 28328-3241 | 2019-02-11 |
| 1225592140 | India Alexis Kea | Counselor | 9015 Woodyard Rd Ste 210, Clinton, MD 20735-4209 | 2019-01-24 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1831688233 | Jed Black | Counselor | 1407 N 2000 W Ste J, Clinton, UT 84015-8563 | 2018-05-02 |
| 1093214116 | Amy Elizabeth Glaser | Counselor | 40 Fairview Ave, Clinton, NJ 08809-1330 | 2018-02-04 |
| 1437662509 | Nancy Anne Baumgartner | Counselor | 65 Old Highway 22 Ste 7b, Clinton, NJ 08809-1315 | 2017-11-13 |
| 1356868236 | Gwendolyn Blake | Counselor | 65 Old Rt. 22, Suite 7b, Clinton, NJ 08809 | 2017-08-23 |
| 1497282743 | Sharon Vessel | Counselor | 10105 Plank Road Suite A, Clinton, LA 70722 | 2017-05-17 |
| Find all providers in CLINTON | ||||
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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.