KERISIA WASZTYL (NPI# 1992176952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992176952 |
| Entity Type | Individual |
| Full Name | KERISIA WASZTYL |
| Practice Address |
4691 Pine Valley Dr Macon GA 31210 |
| Mailing Address |
4691 Pine Valley Dr Macon GA 31210-5634 |
| Practice Telephone | 4783217733 |
| Mailing Telephone | 4783217733 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 165 | GA | Behavioral Health & Social Service Providers |
| Street Address |
4691 PINE VALLEY DR |
| City | MACON |
| State | GA |
| Zip Code | 31210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| 1134568777 | John Norman Bowman Sr. | Dentist | 760 Tufthunter, Macon, GA 31210 | 2013-06-17 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448681 | Alicia Roberts | Marriage & Family Therapist | 2607 Vineville Ave Ste 101, Macon, GA 31204-0900 | 2019-10-14 |
| 1184271561 | Kathlyn Wohlrabe | Marriage & Family Therapist | 3780 Bloomfield Village Dr Ste 1, Macon, GA 31206-0806 | 2019-08-21 |
| 1710487269 | Blue Cedar Counseling | Marriage & Family Therapist | 3263 Vineville Ave, Macon, GA 31204-2343 | 2018-02-20 |
| 1316222946 | Gerri A Robbins | Marriage & Family Therapist | 577 Mulberry St, Suite 1000, Macon, GA 31201-2728 | 2011-10-14 |
| 1699099572 | Martha Harrell Fennell | Marriage & Family Therapist | 265 Orange St, Macon, GA 31201-1646 | 2010-03-21 |
| 1104061548 | Mary Elizabeth Key | Marriage & Family Therapist | 577 Mulberry St Ste 1000, Macon, GA 31201-8225 | 2008-12-15 |
| 1275778631 | Gerald P Allums | Marriage & Family Therapist | 277 Martin Luther King Jr Blvd Ste 203, Macon, GA 31201-3498 | 2008-12-12 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1659589356 | Cesar A Dumelod | Marriage & Family Therapist | 310 Ashville Ct, Macon, GA 31210-1669 | 2007-05-18 |
| 1205042850 | Renee L Sullivan | Marriage & Family Therapist | 153 Marcar Rd, Macon, GA 31216-5929 | 2007-05-14 |
| Find all providers in MACON | ||||
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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.