PHYLLIS PALMER (NPI# 1710268651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710268651 |
| Entity Type | Individual |
| Full Name | PHYLLIS PALMER |
| Credential | MSW |
| Practice Address |
668 N Orlando Ave Ste 210 Maitland FL 32751-4459 |
| Mailing Address |
3615 Valleyview Dr Kissimmee FL 34746-2896 |
| Practice Telephone | 4072150095 |
| Mailing Telephone | 6602290449 |
| Mailing Fax Number | 4072610523 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | FL | Behavioral Health & Social Service Providers | |
| N | 101Y00000X | Counselor | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1710268651 | 05 |
| Street Address |
668 N ORLANDO AVE STE 210 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902103799 | Erick Hemann Knackstedt | Counselor | 668 N Orlando Ave Ste 210, Maitland, FL 32751-4459 | 2011-02-14 |
| 1306447206 | Jessica R Mauger | Social Worker | 668 N Orlando Ave Ste 210, Maitland, FL 32751-4459 | 2020-11-06 |
| 1366083065 | Kim Mascher | Counselor | 668 N Orlando Ave Ste 210, Maitland, FL 32751-4459 | 2019-10-03 |
| 1508102773 | John Jay Landin | Counselor | 668 N Orlando Ave Ste 210, Maitland, FL 32751-4459 | 2012-12-17 |
| 1558636795 | Carolina A Dent | Counselor | 668 N Orlando Ave Ste 210, Maitland, FL 32751-4459 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| 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 |
|---|---|---|---|---|
| 1427393198 | William Carmody | Counselor | 235 S. Maitland Avenue, Suite 111, Maitland, FL 32751 | 2012-12-06 |
| 1083847974 | Anne Hammond Ovesen | Counselor | 1939 Legacy Cove Dr, Maitland, FL 32751-7524 | 2009-08-26 |
| 1679666267 | Vicki Lewis O'grady | Counselor | 670 N. Orlando Ave., #200, Maitland, FL 32751 | 2006-10-02 |
| 1528032745 | Roberta Lee Marowitz | Counselor | 237 Lookout Pl, Maitland, FL 32751-8433 | 2006-02-14 |
| 1043837875 | Christopher Paul Taylor Jr. | Counselor | 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL 32751-7270 | 2020-06-27 |
| 1154984599 | Tafarah Noreene Meyers | Counselor | 225 S Swoope Ave, Maitland, FL 32751-5704 | 2019-04-22 |
| 1437614088 | Jane Lynn Amer | Counselor | 2700 Westhall Ln Ste 207, Maitland, FL 32751-7478 | 2019-02-07 |
| 1023597440 | Melissa Anne Bowling | Counselor | 2700 Westhall Ln Ste 207, Maitland, FL 32751-7478 | 2018-08-07 |
| 1376036590 | Samantha Head | Counselor | 2700 Westhall Ln Ste 207, Maitland, FL 32751-7478 | 2018-06-12 |
| 1255821476 | Stephanie Torres | Counselor | 2700 Westhall Ln, Maitland, FL 32751-7203 | 2018-05-14 |
| Find all providers in MAITLAND | ||||
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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.