JESSICA WEBSTER LLC (NPI# 1124558358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124558358 |
| Entity Type | Organization |
| Organization Name | JESSICA WEBSTER LLC |
| Practice Address |
4003 1st Ave Ste A Lafayette Hill PA 19444-1401 |
| Practice Telephone | (267) 973-7529 |
| Mailing Telephone | 2679737529 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | JESSICA L WEBSTER (SOLE PROPRIETOR) |
| Authorized Official Telephone | 2679737529 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PC004174 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | NPI 1 | 1295910693 | 01 |
| Street Address |
4003 1ST AVE STE A |
| City | LAFAYETTE HILL |
| State | PA |
| Zip Code | 19444-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831683846 | Alison Brie Mcmullin LLC | Clinic/Center | 4003 1st Ave Ste A, Lafayette Hill, PA 19444-1401 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787637 | Nancy Roberts Willis | Social Worker | The Growth and Recovery Center, 452 Germantown Pike, Lafayette Hill, PA 19444 | 2020-04-01 |
| 1093284333 | Anitha Rachel Jones | Registered Nurse | 110 Andorra Glen Court, Lafayette Hill, PA 19444 | 2018-11-15 |
| 1609399328 | Stephanie Barrie | Behavioral Analyst | 16 Pin Oak Court, Lafayette Hill, PA 19444 | 2017-07-25 |
| 1013282862 | Lice Lifters | Clinic/Center | 484 Germantown Pike, Lafayette Hill, PA 19444 | 2012-03-13 |
| 1740505155 | Michele J. Palos-samsi | Physician Assistant | 661 Ridge Pike, Lafayette Hill, PA 19444 | 2010-03-30 |
| 1619102217 | Amy Acquaviva | Speech-Language Pathologist | 2322 N Gilinger Rd, Lafayette Hill, PA 19444 | 2009-05-27 |
| 1578740114 | Veena Srinath Devarakonda | Internal Medicine | 9317 Eagleview Drive, Lafayette Hill, PA 19444 | 2008-01-25 |
| 1730362450 | Kimberly S Mollo | Specialist | 600 Germantown Pike Ste A, Lafayette Hill, PA 19444 | 2007-12-17 |
| 1689752099 | David H Bower | Dentist | 3000 Joshua Rd, Lafayette Hill, PA 19444 | 2006-11-02 |
| 1508941006 | Donald Joseph Mittica | Chiropractor | 2 Scarlet Oak Drive, Lafayette Hill, PA 19444 | 2006-10-25 |
| Find all providers in zip 19444 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275764524 | The Growth and Recovery Center Inc. | Community/Behavioral Health | 452 Germantown Pike, Lafayette Hill, PA 19444-1805 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
| 1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
| 1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
| 1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
| 1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
| 1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | LAFAYETTE HILL |
| Zip Code | 19444 |
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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.