JILL ERIN BRODERICK (NPI# 1710178199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710178199 |
| Entity Type | Individual |
| Full Name | JILL ERIN BRODERICK |
| Credential | MA |
| Practice Address |
5776 Saint Augustine Rd Jacksonville FL 32207-8030 |
| Practice Telephone | 9044484700 |
| Mailing Telephone | 9044484700 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093357956 | Jill Sharon Broderick | Occupational Therapist | 37 Kings Rd Ste 101, Madison, NJ 07940-2500 | 2019-10-11 |
| 1508402835 | Jill Marie Broderick | Pharmacist | 8150 Rockville Rd, Indianapolis, IN 46214-3111 | 2019-11-21 |
| Street Address |
5776 SAINT AUGUSTINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437171410 | Child Guidance Center, Inc. | Clinic/Center | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2006-07-25 |
| 1538775929 | Maria Del Carmen Zeinoun | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-09-21 |
| 1316551856 | Andrea Gabriela Mendez-brown | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-09-02 |
| 1609480383 | Jake Swanson | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-09-01 |
| 1578176707 | Amanda Rose Balznao | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8046 | 2020-08-27 |
| 1184236465 | Danielle Adelstein | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-08-19 |
| 1700494317 | Maia Cochran | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-07-20 |
| 1265058952 | Princes Mccarther | Social Worker | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-06-18 |
| 1497389217 | Leslie Roditti | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-03-02 |
| 1871124982 | Jennifer Kane | Marriage & Family Therapist | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 |
|---|---|---|---|---|
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| 1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
| 1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
| 1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
| 1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
| 1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.