JEAN LILLIBRIDGE (NPI# 1902948649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902948649 |
| Entity Type | Individual |
| Full Name | JEAN LILLIBRIDGE |
| Credential | LMHC |
| Practice Address |
2020 Commerce Dr Melbourne FL 32904-2335 |
| Practice Telephone | 3219526000 |
| Mailing Telephone | 3219526000 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH0004912 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2020 COMMERCE DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793407 | Kelly Fuller | Nurse Practitioner | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2019-01-09 |
| 1952741845 | Stephanie Dean Fish | Registered Nurse | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2013-06-25 |
| 1164725933 | Tanisha Campbell | Licensed Practical Nurse | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2010-12-16 |
| 1538362439 | David Cyrus Ray | Pharmacist | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-06-07 |
| 1023141033 | Sheila Ponce | Psychologist | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-03-13 |
| 1598807059 | Sarah Tyler | Social Worker | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-13 |
| 1245371160 | James Braun | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| 1285775122 | Patti Diane Gibbons | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| 1295876035 | Harry Hillmer | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| 1558402446 | Mary Allen | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415944 | Danielle Neal | Counselor | 4173 Palladian Way, Melbourne, FL 32904-1210 | 2020-10-21 |
| 1063022317 | 21 Vets Incorporated | Counselor | 4908 Fauna Dr, Melbourne, FL 32934-7847 | 2020-08-03 |
| 1528689122 | Ichoose Change, LLC | Counselor | 1600 Malabar Rd, J-119, Melbourne, FL 32935-1408 | 2020-05-05 |
| 1588283683 | Benah Counseling LLC | Counselor | 3270 Suntree Blvd Ste 155-157, Melbourne, FL 32940-7530 | 2020-04-09 |
| 1033755376 | Tiffany Brown | Counselor | 8080 Kingswood Way, Melbourne, FL 32940-2191 | 2019-11-21 |
| 1245893403 | Adrianne Vyasulu Leonhardt | Counselor | 3230 Arden Cir, Melbourne, FL 32934-8772 | 2019-04-15 |
| 1801356480 | Neeley Renee Hughey | Counselor | 3270 Suntree Blvd Ste 121, Melbourne, FL 32940-7540 | 2019-03-21 |
| 1487135596 | Dyeanna Fuller | Counselor | 1600 W Eau Gallie Blvd Ste 201f, Melbourne, FL 32935-4149 | 2018-08-27 |
| 1811489925 | Wendy Leonard Hixon | Counselor | 1900 S Harbor City Blvd Ste 211, Melbourne, FL 32901-4760 | 2018-06-04 |
| 1639682297 | Senior Counseling Group, LLC | Counselor | 3270 Suntree Blvd Ste 2217, Melbourne, FL 32940-7558 | 2017-11-06 |
| Find all providers in MELBOURNE | ||||
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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.