JORGE PENA (NPI# 1104246818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104246818 |
| Entity Type | Individual |
| Full Name | JORGE PENA |
| Credential | CADC |
| Practice Address |
4403 1st Ave Se Ste 104 Cedar Rapids IA 52402-3221 |
| Practice Telephone | 3194230919 |
| Mailing Telephone | 3194230919 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1370 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992867857 | Jorge L Pena I | Pediatrics | Urb.las Serrania, Calle Madrigal #4, Caguas, PR 00725 | 2006-12-15 |
| 1942235940 | Jorge A Pena | Internal Medicine | 600 N Garfield Ave Ste 311, Monterey Park, CA 91754-1171 | 2006-07-11 |
| 1124396262 | Jorge Francisco Pena | Pharmacist | 14882 Blanco Rd, San Antonio, TX 78216-7715 | 2011-12-04 |
| 1649454679 | Jorge L Pena | Exclusive Provider Organization | 1825 Nw 167th St, Suite #102, Miami Gardens, FL 33056-4838 | 2007-12-27 |
| 1881799658 | Jorge A Pena | Specialist | 2420 Sonoma St Ste B, Redding, CA 96001-3027 | 2006-09-14 |
| Street Address |
4403 1ST AVE SE STE 104 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307483 | Kelly Marsengill | Counselor | 4403 1st Ave Se Ste 104, Cedar Rapids, IA 52402-3221 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1700418571 | Daniel Ryan Chute | Counselor | 317 7th Ave Se # 203, Cedar Rapids, IA 52401-2007 | 2020-02-10 |
| 1477107555 | Patrick J Mcmannus | Counselor | 2950 Samuel Ct Sw Unit A, Cedar Rapids, IA 52404-7854 | 2019-07-28 |
| 1992286835 | Megan Young | Counselor | 4837 1st Ave Se Ste 206, Cedar Rapids, IA 52402-3226 | 2018-08-28 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1508343278 | Kathleen Marie Brogla | Counselor | 4050 Bowling St Sw, Cedar Rapids, IA 52404-5005 | 2018-07-25 |
| 1972080653 | Shirley Ann Schneider | Counselor | 317 7th Ave Se Ste 203, Cedar Rapids, IA 52401-2007 | 2018-07-25 |
| 1437652450 | Kim Charles Harban | Counselor | 2434 O Ave Nw, Cedar Rapids, IA 52405-1435 | 2018-03-15 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on JORGE PENA.
| 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.