JENNIFER SHEPHERD (NPI# 1740782838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740782838 |
| Entity Type | Individual |
| Full Name | JENNIFER SHEPHERD |
| Credential | LMHC |
| Practice Address |
825 W Linebaugh Ave Tampa FL 33612-7855 |
| Practice Telephone | 8139315560 |
| Practice Fax Number | 8139324960 |
| Mailing Telephone | 8139315560 |
| Mailing Fax Number | 8139324960 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MH14984 | FL | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH14984 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH14984 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA DEPARTMENT OF HEALTH | MH14984 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806835 | Jennifer Shepherd | Technician | 400 Atlantic St Se Apt 209se, Washington, DC 20032-3702 | 2020-06-24 |
| 1972127256 | Jennifer Shepherd | Early Intervention Provider Agency | 36380 Garfield Rd Ste 4, Clinton Township, MI 48035-1162 | 2020-06-03 |
| 1316473341 | Jennifer Shepherd | Case Manager/Care Coordinator | 1135 2nd Avenue W Ste 202b, Williston, ND 58802 | 2017-05-11 |
| 1437354719 | Jennifer Chudy Shepherd | Physical Therapist | 1800 Jackson St Ste 208, Golden, CO 80401-2358 | 2007-06-18 |
| 1174660054 | Jennifer R Shepherd | Physical Therapist | 1630 Military Cutoff Rd, Suite 110, Wilmington, NC 28403-5719 | 2007-01-31 |
| 1457452781 | Jennifer Mary Shepherd | Chiropractor | 1632 Alameda Blvd Nw, Albuquerque, NM 87114-8807 | 2006-09-26 |
| 1720064223 | Jennifer Shepherd | Nurse Practitioner | 502 West Court Street., Jasper, AR 72641 | 2005-12-16 |
| 1124640354 | Jennifer Shepherd | Social Worker | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2020-05-11 |
| 1356601165 | Jennifer Call Shepherd | Audiologist | 70 S Fairfield Rd, Layton, UT 84041-5111 | 2012-05-25 |
| 1811208556 | Jennifer Lynd Shepherd | Pediatrics | 4650 W Sunset Blvd, #31, Los Angeles, CA 90027-6062 | 2010-06-28 |
| Street Address |
825 W LINEBAUGH AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-7855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922105188 | Healthcare Connection of Tampa Inc. | Clinic/Center | 825 W Linebaugh Ave, Tampa, FL 33612 | 2006-09-20 |
| 1740890847 | Chris Nicely | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2020-08-04 |
| 1275168338 | Michael P Hammer | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2020-03-10 |
| 1871130211 | Alton Fredericks II | Occupational Therapist | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2019-12-04 |
| 1295238996 | Michael D Davis | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-09 |
| 1609378868 | Melissa L Welch | Registered Nurse | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
| 1639671894 | Amanda R Haun | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
| 1275035438 | Dennis D Delvecchio | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
| 1285164061 | Peter Robert Vagg | Psychologist | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2017-06-14 |
| 1316264435 | Brian L Gadbois | Psychiatry & Neurology | 825 W Linebaugh Ave, Tampa, FL 33612 | 2010-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918771 | Advanced Mental Health Services, LLC | Counselor | 2001 W. Busch Blvd., Ste B, Tampa, FL 33612-7517 | 2019-08-22 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1396250809 | Cheryl Zepp | Counselor | 7225 N Nebraska Ave, Tampa, FL 33604-4916 | 2017-12-06 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1326590514 | Crystal Monique Cash | Counselor | 800 E Twiggs St, Room 605, Tampa, FL 33602-3500 | 2016-11-04 |
| 1376995183 | Rosalia Marteli | Counselor | 2915 W Walnut St, Tampa, FL 33607-3205 | 2016-07-05 |
| 1740688357 | Bianca Arpaia | Counselor | 5501 W Waters Ave Ste 404&406, Tampa, FL 33634-1229 | 2014-12-12 |
| 1669875746 | Janet Leigh Knight | Counselor | 14495 University Cove Place, Tampa, FL 33613 | 2014-10-02 |
| Find all providers in TAMPA | ||||
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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.