JENNIFER BURLESON ALLEN (NPI# 1881126779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881126779 |
Entity Type | Individual |
Full Name | JENNIFER BURLESON ALLEN |
Credential | MED |
Practice Address |
4232 Shopton Rd Charlotte NC 28217-3016 |
Mailing Address |
212 Cooper Dr Charlotte NC 28210-2824 |
Practice Telephone | 7042227561 |
Mailing Telephone | 7042227561 |
Enumeration Date | 2017-03-30 |
Last Update Date | 2017-03-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
9195 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | NPI TYPE II | 1265838122 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740809151 | Jennifer Allen | Behavior Technician | #786 Cr 6100, Fruitland, NM 87416 | 2020-04-15 |
1598307886 | Jennifer L Allen | Student in an Organized Health Care Education/Training Program | 9916 S 67th East Ave, Tulsa, OK 74133-6207 | 2019-10-08 |
1104474626 | Jennifer Allen | Technician | 308 Mattox Dr, Elberton, GA 30635-1942 | 2019-08-28 |
1821644808 | Jennifer Aileen Allen | Nurse Practitioner | 11551 Mountain Turtle Dr, Colorado Springs, CO 80921-3916 | 2019-08-14 |
1730640889 | Jennifer Allen | Registered Nurse | 2205 N University Dr Unit 8, Waukesha, WI 53188-1490 | 2019-03-29 |
1285101196 | Jennifer Allen | Counselor | 3010 Denny Brooke Ln, Smyrna, TN 37167-3968 | 2018-10-29 |
1669956140 | Jennifer Allen | Social Worker | 10 Johnson Rd, Andover, MA 01810-1712 | 2018-09-20 |
1821574971 | Jennifer Allen | Pharmacist | 625 Lincoln Hwy, Fairview Heights, IL 62208-2121 | 2018-07-12 |
1508365917 | Jennifer Joan Allen | Counselor | 105 Terrace Drive, Po Box 288, Stroudsburg, PA 18360 | 2018-02-12 |
1356840227 | Jennifer Allen | Social Worker | 2150 S Canalport Ave Ste 4c5, Chicago, IL 60608-3850 | 2018-02-06 |
Street Address |
4232 SHOPTON RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28217-3016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245642404 | Carol Shannon Nord | Counselor | 4232 Shopton Rd, Charlotte, NC 28217-3016 | 2014-05-22 |
1437697836 | Megan Montgomery Clark | Counselor | 4232 Shopton Rd, Charlotte, NC 28217-3016 | 2017-02-06 |
1265838122 | Hope Garden Counseling | Community/Behavioral Health | 4232 Shopton Rd, Charlotte, NC 28217-3016 | 2014-11-05 |
1518366137 | Lola Sanford | Specialist | 4232 Shopton Rd, Charlotte, NC 28217-3016 | 2014-08-19 |
1710396528 | Crystal Moore | Counselor | 4232 Shopton Rd, Charlotte, NC 28217-3016 | 2014-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
Find all providers in zip 28217 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
Find all providers in CHARLOTTE |
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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.