JASON V MITCHELL (NPI# 1922308386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922308386 |
| Entity Type | Individual |
| Full Name | JASON V MITCHELL |
| Credential | CASAC-T |
| Practice Address |
598 Broadway 2nd Floor New York NY 10012 |
| Mailing Address |
574 St Nicholas Ave 12 New York NY 10030 |
| Practice Telephone | 2129669537 |
| Practice Fax Number | 2125845450 |
| Mailing Telephone | 2129669537 |
| Mailing Fax Number | 2125845450 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02249145 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OASAS | 02249145 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437424165 | Jason Mitchell | Counselor | 87-1130 Oheohe St, Waianae, HI 96792-3456 | 2012-03-13 |
| 1376752261 | Jason Christopher Mitchell | Dentist | 2713 N Main St, Anderson, SC 29621-3282 | 2007-05-21 |
| 1629190251 | Jason P Mitchell | Nurse Anesthetist, Certified Registered | 55 Oquinn Rd, Rayville, LA 71269-7018 | 2007-04-04 |
| 1689792798 | Jason Christopher Mitchell | Specialist/Technologist | Old Dominion University, Athletic Administration Building #1113c, Norfolk, VA 23529-0001 | 2007-03-27 |
| 1558326058 | Jason L Mitchell | Military Health Care Provider | 259 Yorkshire Ln, Bellefonte, PA 16823-7955 | 2006-04-18 |
| 1982161865 | Jason Kristopher Mitchell | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2019-02-27 |
| 1184114266 | Jason Mitchell | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2018-05-15 |
| 1316342009 | Jason Mitchell | Nurse Practitioner | 2809 E Millbrook Rd, Raleigh, NC 27604-3042 | 2014-10-24 |
| 1831448133 | Jason Ray Mitchell | Community Health Worker | 1050 E Flamingo Rd Ste E-120, Las Vegas, NV 89119-7427 | 2012-08-31 |
| 1982839064 | Jason Kyle Mitchell | Psychologist | 52 Mdg Unit 3690, Apo, AE 09126 | 2009-05-19 |
| Street Address |
598 BROADWAY 2ND FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740206861 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 598 Broadway, New York, NY 10012-3351 | 2006-07-14 |
| 1912495474 | Concita Rebecca Watkis | Counselor | 598 Broadway, New York, NY 10012-3351 | 2018-04-30 |
| 1417453051 | Adasia L Jennings | Counselor | 598 Broadway, New York, NY 10012-3351 | 2018-04-03 |
| 1760988703 | Milsy A Ferreira | Counselor | 598 Broadway, New York, NY 10012-3351 | 2018-03-30 |
| 1831695857 | Richard Green Jr. | Counselor | 598 Broadway, New York, NY 10012-3351 | 2018-03-30 |
| 1144723792 | Hyppolite Pierre Jr. | Counselor | 598 Broadway, New York, NY 10012-3351 | 2018-03-09 |
| 1932607736 | Tanika Tamara Davidson | Counselor | 598 Broadway, New York, NY 10012-3351 | 2018-01-26 |
| 1710493390 | Robyn Moore | Counselor | 598 Broadway, New York, NY 10012-3351 | 2017-12-19 |
| 1982113692 | Peter Anthony Allen II | Counselor | 598 Broadway, 2nd Floor, New York, NY 10012 | 2017-09-26 |
| 1750816450 | Robert Biggs | Counselor | 598 Broadway, New York, NY 10012-3351 | 2017-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1962016980 | Aliceia Dolma Carin | Acupuncturist | 51 Spring St #14, New York, NY 10012 | 2020-09-08 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1558863761 | Shurla S Perry | Counselor | 96 W Houston St, New York, NY 10012 | 2018-03-03 |
| 1295246361 | Charlotta Noelle Nutley-phillips | Speech-Language Pathologist | 654 Broadway #2f, 654 Broadway, New York, NY 10012 | 2017-10-17 |
| 1023496163 | Kelley Pauline Hershman | Counselor | 159 Bleecker St Apt 2a, New York, NY 10012 | 2015-05-08 |
| 1134514599 | Frank Joseph Vogt | Acupuncturist | 73 Spring St., Suite 201, New York, NY 10012 | 2015-04-02 |
| 1063816932 | Howard Schatz | Orthopaedic Surgery | 435 West Broadway, #2, New York, NY 10012 | 2014-10-21 |
| 1649680737 | Charlotte Aronin Birnbaum | Dermatology | 73 Spring Street, Suite 303, New York, NY 10012 | 2014-04-29 |
| 1841600988 | Jeffrey Cohen Mental Health Counseling, P.C. | Counselor | 14 East 4th Street, Suite 506, New York, NY 10012 | 2014-04-29 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018713 | The Dorm Lcsw, Pllc | Counselor | 175 W 72nd St Frnt 2, New York, NY 10023-3203 | 2020-09-17 |
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
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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.