JILL ASHLEY DIVITO (NPI# 1932496122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932496122 |
| Entity Type | Individual |
| Full Name | JILL ASHLEY DIVITO |
| Credential | LPC |
| Practice Address |
12634 Angling Rd Suite E Edinboro PA 16412-1369 |
| Practice Telephone | 8147347094 |
| Practice Fax Number | 8147343080 |
| Mailing Telephone | 8147347094 |
| Mailing Fax Number | 8147343080 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC005868 | PA | Behavioral Health & Social Service Providers |
| Street Address |
12634 ANGLING RD SUITE E |
| City | EDINBORO |
| State | PA |
| Zip Code | 16412-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690063 | Susan M Evans | Clinical Neuropsychologist | 12634 Angling Rd, Edinboro, PA 16412-1369 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183137 | Ashley B Barnett | Specialist/Technologist | 455 Scotland Road, Edinboro, PA 16412 | 2020-01-09 |
| 1083101901 | Kelly Anne Bruce | Specialist/Technologist | 11700 Edinboro Rd, Edinboro, PA 16412 | 2018-04-16 |
| 1922477389 | Keyara Kelly | Specialist/Technologist | 5550 Crane Road, Edinboro, PA 16412 | 2015-09-16 |
| 1366721425 | Pamer Family Chiropractic & Wellness | Chiropractor | 11700 Edinboro Rd., Edinboro, PA 16412 | 2011-08-08 |
| 1568629335 | Lake Erie Dental Inc | Dentist | 106 Waterford Street, Edinboro, PA 16412 | 2008-05-20 |
| 1902007099 | Margaret Burke Kessler | Counselor | 124 Meadville St Ste 105, Edinboro, PA 16412 | 2007-05-29 |
| 1134255516 | James Turner Bolard | Optometrist | 103 Erie St, Edinboro, PA 16412 | 2007-02-27 |
| 1164917696 | Deveshi Chandan | Dentist | 606 Erie St, Edinboro, PA 16412 | 2018-06-27 |
| 1104291384 | Gina Demarco Smith | Occupational Therapist | 419 Waterford Street, Edinboro, PA 16412 | 2015-12-14 |
| 1194134312 | Summer Renae Payer | Massage Therapist | 201a Waterford St, Edinboro, PA 16412 | 2014-08-13 |
| Find all providers in zip 16412 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470576 | Denise Frances Bunner | Counselor | 12180 Angling Rd, Edinboro, PA 16412-1349 | 2020-09-07 |
| 1902450992 | Norah Jane Scholl | Counselor | 110 Lynwood Dr Apt 3, Edinboro, PA 16412-2330 | 2019-07-28 |
| 1164904355 | Angela Dianne Martin-horn | Counselor | 10100 Eureka Rd, Edinboro, PA 16412-5912 | 2018-09-04 |
| 1023489325 | Tradewinds Counseling Services, LLC | Counselor | 124 Meadville St, Edinboro, PA 16412-2502 | 2015-10-13 |
| 1306181953 | Carrie J. Petkac | Counselor | 5111 Crane Rd, Edinboro, PA 16412-1683 | 2012-12-10 |
| 1558814772 | Jesse Daniel Oblinski | Counselor | 7052 Route 6n, Edinboro, PA 16412-9610 | 2016-07-25 |
| 1033561469 | Mindful Paths LLC | Counselor | 124 Meadville St, Suite 105, Edinboro, PA 16412-2502 | 2016-07-11 |
| 1538409172 | Gregory J Parker | Counselor | 108 High St, Edinboro, PA 16412-2536 | 2013-02-19 |
| 1396018552 | Anthony Masone | Counselor | 108 High St, Edinboro, PA 16412-2536 | 2012-02-20 |
| 1710274782 | Benjamin Mitchell Stuller | Counselor | 108 High St, Edinboro, PA 16412-2536 | 2011-06-29 |
| Find all providers in EDINBORO | ||||
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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.