ROBERT FILLINGIM (NPI# 1962950030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962950030 |
Entity Type | Individual |
Full Name | ROBERT FILLINGIM |
Credential | LMHC |
Practice Address |
5642 Jones St Milton FL 32570-2304 |
Practice Telephone | 8506267779 |
Mailing Telephone | 8506267779 |
Enumeration Date | 2016-09-16 |
Last Update Date | 2016-09-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | MH 13197 | FL | Behavioral Health & Social Service Providers |
Street Address |
5642 JONES ST |
City | MILTON |
State | FL |
Zip Code | 32570-2304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679683577 | Kimberly Marie Hughes | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2006-08-30 |
1285299735 | Monica May Davis | Marriage & Family Therapist | 5642 Jones St, Milton, FL 32570-2304 | 2019-05-09 |
1770975625 | Jacob Michael Davis | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2015-03-02 |
1740538511 | Brian E Willis | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2012-08-27 |
1457609232 | Melissa Diane Garner | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2012-08-27 |
1265663256 | Ann Mignon Mattingly Gillis | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2009-08-07 |
1275789620 | Brittany Lace Paquette | Counselor | 5642 Jones St, Milton, FL 32570 | 2008-08-15 |
1962697441 | Santa Rosa Counseling Center, LLC | Marriage & Family Therapist | 5642 Jones St, Milton, FL 32570-2304 | 2007-09-07 |
1962605717 | Christine Wilson | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2007-06-08 |
1518096247 | Karen Alesia Willis | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2007-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
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1316272933 | Faith W Evans | Counselor | 116 Blue Hills Pkwy, Milton, MA 02186-1145 | 2009-10-15 |
1639300973 | Arsene Bien-aime | Counselor | 9 Tucker St, Milton, MA 02186-1120 | 2009-08-04 |
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1760081202 | Nih Holdings LLC | Counselor | 7711 N Military Trl Ste 1014, West Palm Beach, FL 33410-6506 | 2020-10-24 |
1346849072 | Blanca Rodriguez | Counselor | 1201 Lavender Jewel Ct, Plant City, FL 33563-2515 | 2020-10-23 |
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1306444989 | Robert A Fahey | Counselor | 3927 Vine Tree Trl Apt A, Lake Worth, FL 33467-8540 | 2020-10-15 |
1952909178 | Elizabeth Leon | Counselor | 1067 Nw 119th St, North Miami, FL 33168-6240 | 2020-10-09 |
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1124635081 | Always Behavioral Counseling Services | Counselor | 5724 Byron Anthony Pl Apt 338, Sanford, FL 32771-8633 | 2020-09-24 |
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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.