RAEVEN JEMISON (NPI# 1740831890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740831890 |
Entity Type | Individual |
Full Name | RAEVEN JEMISON |
Practice Address |
995 Worthington St Springfield MA 01109-4027 |
Practice Telephone | 4137475384 |
Mailing Telephone | 4137475384 |
Enumeration Date | 2019-09-20 |
Last Update Date | 2019-09-20 |
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 |
Street Address |
995 WORTHINGTON ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01109-4027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255675153 | Kristine Mary Stack | Registered Nurse | 995 Worthington St, Springfield, MA 01109-4027 | 2012-11-15 |
1922614239 | Kathleen M Bailes | Social Worker | 995 Worthington St, Springfield, MA 01109-4027 | 2020-09-22 |
1417587593 | Brandy Alexander Zuber | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2020-01-17 |
1578114708 | Wanda Liz Planadeball | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-09-29 |
1487205803 | Tadaja Mone Murphy | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-09-26 |
1407407802 | Marcus Steven Garner | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-09-26 |
1154985034 | Bonnie Odonnell | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-04-26 |
1285104141 | Mental Health Association, Inc. | Community/Behavioral Health | 995 Worthington St, Springfield, MA 01109-4027 | 2018-12-04 |
1659854933 | Carol Maria Raus | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2018-09-12 |
1417493180 | Olivia Taylor Bernstein | Case Manager/Care Coordinator | 995 Worthington St, Springfield, MA 01109-4027 | 2017-01-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720479892 | Ethan Chase | Dentist | 555 State Street, Dental Dreams, Springfield, MA 01109 | 2015-02-11 |
1043591423 | Victoria A Jones | Counselor | 1104 Street Street, Suite 2d, Springfield, MA 01109 | 2011-08-30 |
1093043879 | Lee Ann Callagher | Occupational Therapist | 807 Wilbraham Rd., Springfield, MA 01109 | 2009-12-07 |
1740424993 | Pamela Joan Aselton | Nurse Practitioner | 263 Alden Street, Springfield College Health Service, Springfield, MA 01109 | 2009-04-30 |
1225642507 | Emma V Slater | Student in an Organized Health Care Education/Training Program | 263 Alden St, Springfield, MA 01109 | 2020-09-03 |
1184253239 | Hye Young Shin | Dentist | 555 State St, Springfield, MA 01109 | 2020-04-01 |
1225662992 | Mary Catherine Becker | Student in an Organized Health Care Education/Training Program | 263 Alden Street, Springfield, MA 01109 | 2020-03-02 |
1235630856 | Kathryn O'brien | Student in an Organized Health Care Education/Training Program | 11 Wilbraham Rd, Springfield, MA 01109 | 2018-02-28 |
1174074736 | Candace Griffith | Counselor | 140 High St., Suite 230, Springfield, MA 01109 | 2016-10-19 |
1356730279 | Pedro Ferrer | Counselor | 332 Birnie Ave, Springfield, MA 01109 | 2015-01-15 |
Find all providers in zip 01109 |
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 |
---|---|---|---|---|
1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01109 |
Please comment or provide details below to improve the information on RAEVEN JEMISON.
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.