KARA ROGERS BLACK (NPI# 1962961565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962961565 |
Entity Type | Individual |
Full Name | KARA ROGERS BLACK |
Practice Address |
270 Communication Way Hyannis MA 02601-1883 |
Practice Telephone | 5088155373 |
Mailing Telephone | 5088155373 |
Enumeration Date | 2019-03-14 |
Last Update Date | 2019-03-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
270 COMMUNICATION WAY |
City | HYANNIS |
State | MA |
Zip Code | 02601-1883 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174502488 | Andres Rodriguez-munoz | Psychiatry & Neurology | 270 Communication Way, Unit 1d, Hyannis, MA 02601-1883 | 2006-01-13 |
1780233395 | Alexis Zou | Counselor | 270 Communication Way, Hyannis, MA 02601-1883 | 2019-09-06 |
1720640584 | Abigail Rebecca Dudley | Counselor | 270 Communication Way, Hyannis, MA 02601-1883 | 2019-07-02 |
1225597701 | Kimberly Ann Kalweit | Counselor | 270 Communication Way, Hyannis, MA 02601-1883 | 2019-03-14 |
1336627389 | Danielle Fisher | Registered Nurse | 270 Communication Way, Hyannis, MA 02601-1883 | 2018-08-01 |
1104325752 | Hilroy Johnson Thomas | Counselor | 270 Communication Way, Hyannis, MA 02601-1883 | 2018-02-09 |
1043735566 | Ashley Gincauskis | Counselor | 270 Communication Way, Hyannis, MA 02601-1883 | 2017-08-05 |
1790211555 | Autumn Zerendow | Counselor | 270 Communication Way, Hyannis, MA 02601-1883 | 2017-05-11 |
1962652701 | Sarah Ann Stanley | Social Worker | 270 Communication Way, Unit I- E, Hyannis, MA 02601-1883 | 2008-09-30 |
1003063587 | Digitrace Care Services, Inc | Clinic/Center | 270 Communication Way, Suite 4b, Hyannis, MA 02601 | 2008-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
1184108912 | Erin Lee Rindfuss | Social Worker | 10 Independence Drive, Hyannis, MA 02601 | 2018-09-18 |
1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
1528597804 | Kaydian Karyl Roberts | Behavioral Analyst | 767 Independence Dr, Apt D101, Hyannis, MA 02601 | 2017-06-08 |
1801338801 | Catherine Ode | Counselor | 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 | 2016-11-08 |
1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
1164858742 | Ann Alexander Ms Rdn Lrd LLC | Dietitian, Registered | 500 Ocean St. #39, Hyannis, MA 02601 | 2013-09-16 |
1295089803 | Janis Sommers | Mechanotherapist | 677 West Main Street, Harwich, MA 02601 | 2012-11-05 |
1962797167 | Douglas Mason | Counselor | 889 West Main St., Hyannis, MA 02601 | 2011-06-15 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
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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.