JESSICA RIDGEWAY (NPI# 1093255481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093255481 |
| Entity Type | Individual |
| Full Name | JESSICA RIDGEWAY |
| Credential | LMFT |
| Practice Address |
1070 County Farm Rd Zebulon GA 30295 |
| Practice Telephone | 7705670531 |
| Mailing Telephone | 7705670531 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001482 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1070 COUNTY FARM RD |
| City | ZEBULON |
| State | GA |
| Zip Code | 30295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842352 | Kelli Kaczmarek | Counselor | 9829 Us-19, Zebulon, GA 30295 | 2020-05-11 |
| 1730710914 | Servemed, Inc | Pharmacy | 10263 Us Hwy 19, Suite 226, 226 Plaza Drive, Zebulon, GA 30295 | 2020-01-28 |
| 1780017822 | Palmetto Family Dental of Pike County | Clinic/Center | 15988 Barnesville St., Zebulon, GA 30295 | 2013-08-13 |
| 1043352271 | Kenneth David Gaskins | Pharmacist | 119 Concord Street, Zebulon, GA 30295 | 2007-02-13 |
| 1497821862 | Donna Michelle Haney | Family Medicine | 16125 Barnesville Street, Zebulon, GA 30295 | 2006-11-28 |
| 1669543476 | Pike County Board of Education | Local Education Agency (LEA) | 115 West Jackson Street, Zebulon, GA 30295 | 2006-11-13 |
| 1457440364 | Pike County Health Department | Registered Nurse | 541 Griffin Street, Zebulon, GA 30295 | 2006-10-11 |
| 1346353919 | Frank W. Kirby | Dentist | 7233 Us Highway 19, Zebulon, GA 30295 | 2006-08-16 |
| 1417941998 | Pike County Health Department | Public Health or Welfare | 541 Griffin Str., Zebulon, GA 30295 | 2005-09-09 |
| 1801078035 | Donna M. Haney M.d., P.C. | Family Medicine | 16125 Barnesville Street, Zebulon, GA 30295 | 2007-11-29 |
| Find all providers in zip 30295 | ||||
| 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 |
|---|---|---|---|---|
| 1821458308 | Cyndal Moore | Marriage & Family Therapist | 7136 Linda Rae Dr, Zebulon, NC 27597-7510 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869183 | Michael Tanner | Marriage & Family Therapist | 5763 Village Loop, Fairburn, GA 30213-4641 | 2020-10-24 |
| 1316546401 | Joseph Keith Brewton | Marriage & Family Therapist | 210 Creekstone Rdg, Woodstock, GA 30188-3732 | 2020-10-20 |
| 1063010528 | Karla Schlumbrecht | Marriage & Family Therapist | 3569 Sumner Rd, Moultrie, GA 31768-0117 | 2020-10-15 |
| 1376140426 | Moandra Johnson | Marriage & Family Therapist | 2037 Weems Rd Apt 6201, Tucker, GA 30084-5263 | 2020-10-01 |
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1073129896 | Lotus Nest Counseling Services LLC | Marriage & Family Therapist | 906 Weathers Dr, Montezuma, GA 31063-1016 | 2020-09-17 |
| 1982217378 | Amy Wagner, LLC | Marriage & Family Therapist | 346 Kramer St, Carrollton, GA 30117-3708 | 2020-08-26 |
| 1114539491 | Sil-miracle Walker | Marriage & Family Therapist | 4210 Columbia Rd Ste 7b, Martinez, GA 30907-0439 | 2020-08-19 |
| 1285242099 | Lyons Center, LLC | Marriage & Family Therapist | 110 Kellwood Dr Ste 200a, Perry, GA 31069-3263 | 2020-07-17 |
| 1073131827 | Ilisten, LLC | Marriage & Family Therapist | 106 Danbury Ct, Pooler, GA 31322-9780 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.