ELISSA MICHELLE JETER (NPI# 1003452525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003452525 |
| Entity Type | Individual |
| Full Name | ELISSA MICHELLE JETER |
| Credential | LPC |
| Practice Address |
200 S 14th St Ste 120 Midlothian TX 76065-3359 |
| Practice Telephone | 2142359087 |
| Mailing Telephone | 2142359087 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
78127 | TX | Behavioral Health & Social Service Providers |
| Street Address |
200 S 14TH ST STE 120 |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660919 | Samelia Spencer | Counselor | 13817 Village Mill Dr Ste R, Midlothian, VA 23114-4378 | 2020-08-18 |
| 1780293829 | Leah Coleman Thomas | Counselor | 2510 Salisbury Rd, Midlothian, VA 23113-3824 | 2020-07-24 |
| 1003430968 | Richmond Stress & Anxiety | Counselor | 13926 Hull Street Rd, Midlothian, VA 23112-2004 | 2020-06-05 |
| 1730703802 | Carri Wilson | Counselor | 720 Belmont Dr, Midlothian, TX 76065-5486 | 2020-06-03 |
| 1568091262 | Katrina Tabb | Counselor | 1928 Walmart Way, Midlothian, VA 23113-2692 | 2020-04-04 |
| 1578115747 | Natasha Caravati | Counselor | 831 Grove Rd, Midlothian, VA 23114-2666 | 2019-07-09 |
| 1619539459 | Annette Marie Cornish | Counselor | 9937 Greywell Ter, Midlothian, VA 23112-3676 | 2019-07-02 |
| 1174183891 | Alison M Gravley | Counselor | 2041 Whispering Hills Dr, Midlothian, TX 76065-6603 | 2019-06-14 |
| 1023674785 | Tonya Osmond | Counselor | 13817 Village Mill Dr Unit R, Midlothian, VA 23114-4378 | 2019-05-17 |
| 1912562356 | Amy Fortenbury Standifer | Counselor | 509 George Hopper Rd Ste B, Midlothian, TX 76065-5518 | 2019-05-01 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
Please comment or provide details below to improve the information on ELISSA MICHELLE JETER.
| 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.