DR. DOUGLASS ADRIEN LOBO (NPI# 1861990723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861990723 |
| Entity Type | Individual |
| Full Name | DR. DOUGLASS ADRIEN LOBO |
| Credential | LMHC |
| Practice Address |
4924 Medoras Ave Saint Augustine FL 32080-7170 |
| Practice Telephone | 3058037528 |
| Mailing Telephone | 3058037528 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
MH-4113 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4924 MEDORAS AVE |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32080-7170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266928 | Jacqueline Dougherty | Counselor | 4475 Us Highway 1 S Ste 608, Saint Augustine, FL 32086-7282 | 2019-03-31 |
| 1124487947 | Stephanie Strole | Counselor | 340 Paseo Reyes Dr, Saint Augustine, FL 32095-8464 | 2016-02-22 |
| 1215340609 | Shannon Cline | Counselor | 1420 Tintern Ln, Saint Augustine, FL 32092-1025 | 2014-06-04 |
| 1427322924 | Lauren Elizabeth Wood | Counselor | 495 Prosperity Lake Dr Ste 101, Saint Augustine, FL 32092-5045 | 2012-03-01 |
| 1366749574 | Kellian L Klipstine | Counselor | 344 Paseo Reyes Drive, Saint Augustine, FL 32095-8464 | 2011-02-24 |
| 1023346590 | Russell Robert Dean | Counselor | 405 Mackenzie Cir, Saint Augustine, FL 32092-3434 | 2009-11-22 |
| 1023246030 | Lisa Britt | Counselor | 157 Hampton Point Dr Ste 1, Saint Augustine, FL 32092-3054 | 2009-06-29 |
| 1639233026 | Carolyn Moldovanyi | Counselor | 52 Tuscan Way Ste 202, Saint Augustine, FL 32092 | 2006-12-20 |
| 1104916428 | Stephen William Henneka | Counselor | 1100 S Ponce De Leon Blvd Ste 1, Saint Augustine, FL 32084-6013 | 2006-10-15 |
| 1720618432 | Myralynn H Vaughn | Counselor | 248 Southpark Cir E, Saint Augustine, FL 32086-5137 | 2020-01-22 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32080 |
Please comment or provide details below to improve the information on DR. DOUGLASS ADRIEN LOBO.
| 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.