LIESA ETHERIDGE (NPI# 1023567138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023567138 |
| Entity Type | Individual |
| Full Name | LIESA ETHERIDGE |
| Practice Address |
205 N Jackson St Frankfort IN 46041-1936 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 7656594771 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39002925A | IN | Behavioral Health & Social Service Providers |
| Street Address |
205 N JACKSON ST |
| City | FRANKFORT |
| State | IN |
| Zip Code | 46041-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052762 | Dan Dennis Lima | Counselor | 205 N Jackson St, Frankfort, IN 46041-1936 | 2006-07-29 |
| 1669026308 | Hannah C Spears | Nurse Practitioner | 205 N Jackson St, Frankfort, IN 46041-1936 | 2019-07-31 |
| 1457884900 | Jessica Cloud | Counselor | 205 N Jackson St, Frankfort, IN 46041-1936 | 2017-04-11 |
| 1124462239 | Danielle Lynn Majors | Social Worker | 205 N Jackson St, Frankfort, IN 46041-1936 | 2013-04-19 |
| 1245367820 | Laura Graefnitz | Counselor | 205 N Jackson St, Frankfort, IN 46041 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1639667868 | Missy Luann Mobley | Pharmacist | 1300 S Jackson Street, Frankfort, IN 46041 | 2018-04-24 |
| 1437679958 | Unity Healthcare, LLC | Family Medicine | 2002 West County Road 0 N/s, Frankfort, IN 46041 | 2017-06-26 |
| 1487048765 | Adriana Lizbeth Olivas | Specialist/Technologist | 750 W Norris Way, Frankfort, IN 46041 | 2015-03-24 |
| 1356785778 | Larry Gene Bond | Dermatology | 9637 W. County Rd 200 N., Frankfort, IN 46041 | 2013-04-29 |
| 1619221439 | Clinton County Government | Counselor | 55 W Washington St, Frankfort, IN 46041 | 2012-10-31 |
| 1114137825 | Sands Group, Inc. | Occupational Therapy Assistant | 1555 North Main Street, Frankfort, IN 46041 | 2007-05-23 |
| 1861606865 | Clinton County Wic Program | Public Health or Welfare | Clinton County Wic Program, 2120 Washington Avenue, Frankfort, IN 46041 | 2007-05-09 |
| 1962624114 | Clinton Prairie School Corporation | Local Education Agency (LEA) | 4431 W State Road, Frankfort, IN 46041 | 2007-05-03 |
| 1063527620 | Dean D Craft | Dentist | 900 E Walnut St, Frankfort, IN 46041 | 2006-08-21 |
| Find all providers in zip 46041 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726864 | Amanda M Straka | Counselor | 329 N Maple St Apt 101, Frankfort, IL 60423-2906 | 2020-09-25 |
| 1588296495 | Tanya Yolanda Moreno Fluke | Counselor | 1030 Burlington Ln, Frankfort, KY 40601-8444 | 2020-02-08 |
| 1811531833 | Gary Edward Kujawa | Counselor | 20646 Abbey Woods Ct N Ste 205, Frankfort, IL 60423-3177 | 2019-11-01 |
| 1811548621 | Laura Cassidy | Counselor | 1030 Burlington Ln Ste 5, Frankfort, KY 40601-8444 | 2019-09-23 |
| 1689229791 | Donal Salchli LLC | Counselor | 306 W Main St Ste 600, Frankfort, KY 40601-1856 | 2019-08-06 |
| 1992210322 | Personal Solutions Counseling, PC | Counselor | 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 | 2017-12-07 |
| 1588181721 | Carol Proctor | Counselor | 175 Winding Way Dr, Frankfort, KY 40601-3072 | 2017-08-28 |
| 1114448081 | Elisabeth Davis | Counselor | 116 Quail Run, Frankfort, KY 40601-9717 | 2017-06-30 |
| 1023471653 | Rhashmi Barber | Counselor | 1351 Hanly Lane, Frankfort, KY 40601 | 2016-03-31 |
| 1871950196 | Kelly L Dycus | Counselor | 5097 Georgetown Rd, Frankfort, KY 40601-8694 | 2016-01-16 |
| Find all providers in FRANKFORT | ||||
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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.