JENNIFER N GORETCKI (NPI# 1003312463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003312463 |
| Entity Type | Individual |
| Full Name | JENNIFER N GORETCKI |
| Practice Address |
2820 Grant Line Rd New Albany IN 47150-2494 |
| Mailing Address |
2695 S Jimtown Ln Scottsburg IN 47170-8031 |
| Practice Telephone | 8129812594 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2820 GRANT LINE RD |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013055052 | Misty Lee Kaminskas | Social Worker | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2007-02-02 |
| 1952957060 | Lauren Elyse Bayens | Social Worker | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2019-08-14 |
| 1376197244 | Neal Aaron Clark | Social Worker | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2019-07-30 |
| 1477027068 | Regina Michelle Saulsberry | Counselor | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2019-01-16 |
| 1174052930 | Alicia Kristen-marie Dawson | Counselor | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2017-06-06 |
| 1164888475 | Tabitha Deleon | Social Worker | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2016-01-04 |
| 1962834648 | Lindsey Burk | Social Worker | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450184 | Justin R Campbell | Counselor | 2019 E Spring St, New Albany, IN 47150-1664 | 2020-08-31 |
| 1265044648 | Keisha Marie Norrington | Counselor | 2820 Grant Line Rd # 10, New Albany, IN 47150-2494 | 2020-08-18 |
| 1063984151 | Samantha Leeman | Counselor | 7971 E Dublin Granville Rd, New Albany, OH 43054-9793 | 2018-12-29 |
| 1144682105 | Brittany Johnson | Counselor | 727 Mount Tabor Rd Ste C, New Albany, IN 47150-6951 | 2016-03-28 |
| 1871892802 | Jamie Lee Heinz | Counselor | 3122 Blackiston Mill Rd Ste B, New Albany, IN 47150-9501 | 2011-03-16 |
| 1881924165 | Gayle Kuhr | Counselor | 3777 Purdey Ct, New Albany, OH 43054-9082 | 2010-01-08 |
| 1639357643 | Megan Elizabeth Webster | Counselor | 4187 Windsor Bridge Pl, New Albany, OH 43054-7006 | 2008-02-01 |
| 1679774590 | Vennard C Walter Jr. | Counselor | 146 Cherry St, New Albany, IN 47150-4805 | 2007-05-29 |
| 1619183548 | Elizabeth Anne Hattab | Counselor | 1015 East Spring Street, New Albany, IN 47150 | 2007-05-15 |
| 1417160425 | Diane Elizabeth Stawar | Counselor | 1618 Beeler St, New Albany, IN 47150 | 2007-05-07 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on JENNIFER N GORETCKI.
| 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.