JESSICA NELSON (NPI# 1154565489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154565489 |
| Entity Type | Individual |
| Full Name | JESSICA NELSON |
| Credential | LCSW |
| Practice Address |
104 70 Queens Blvd Suite 200 Forest Hills NY 11375-3694 |
| Mailing Address |
104 70 Queens Boulevard Suite 200 Forest Hill NY 11375-3694 |
| Practice Telephone | 7182756010 |
| Practice Fax Number | 7182756062 |
| Mailing Telephone | 7182756010 |
| Mailing Fax Number | 7182756062 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
075263 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648668 | Jessica J Nelson | Technician | 5821 Prairie View Rd, Towner, ND 58788-9575 | 2020-10-27 |
| 1386267110 | Jessica Elizabeth Nelson | Counselor | 1294 18th St E # 2, Hastings, MN 55033-3680 | 2020-05-27 |
| 1033608088 | Jessica Ann Nelson | Chiropractor | 1947 Kenwood Pl Se, Smyrna, GA 30082-5144 | 2018-05-05 |
| 1639457161 | Jessica Anne Baxter Nelson | Dental Hygienist | 815 Vista Ln, Ione, CA 95640-5424 | 2011-08-02 |
| 1639338833 | Jessica Ann Nelson | Marriage & Family Therapist | 120 Clarkson St, Bridgeport, CT 06605-3240 | 2008-06-03 |
| 1659547602 | Jessica Layne Nelson | Pharmacist | Navajo Route 7 and Navajo Route 12, Fort Defiance, AZ 86504 | 2008-04-30 |
| 1245362599 | Jessica Ann Nelson | Advanced Practice Midwife | 340 Nw 5th St Ste 101, Redmond, OR 97756-1869 | 2007-03-12 |
| 1730790833 | Jessica Nelson | Physical Therapist | 9410 State Highway 151 Ste 104, San Antonio, TX 78251-4784 | 2020-08-12 |
| 1407478480 | Jessica Ann Nelson | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-12 |
| 1720609985 | Jessica Lynn Nelson | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-04-29 |
| Street Address |
104 70 QUEENS BLVD SUITE 200 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366639122 | Dianna Nain-bradley | Counselor | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2007-09-26 |
| 1437398344 | Sasha Soon | Counselor | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2009-02-17 |
| 1891940011 | Socrates Ortiz Jr. | Social Worker | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2008-12-02 |
| 1467602110 | Allison Mazer Katz | Social Worker | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2008-09-30 |
| 1932359585 | Anne Keating | Counselor | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2008-09-19 |
| 1063669026 | Talya Shomron | Social Worker | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2008-08-21 |
| 1245417930 | Howard Chirlin | Social Worker | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2008-01-25 |
| 1508048307 | Denise Provenza | Social Worker | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2007-12-04 |
| 1265629026 | Anamaria Rakuljic | Counselor | 104 70 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1427520063 | Alicia N Johnson | Counselor | 11835 Queens Blvd Fl 6, Forest Hills, NY 11375-7211 | 2018-12-20 |
| 1255830469 | Jeanette Rodriguez | Counselor | 10470 Queens Blvd Ste 2, Forest Hills, NY 11375-3638 | 2018-02-03 |
| 1568900645 | Yes Psychotherapy Services | Counselor | 10829 70th Ave, Forest Hills, Forest Hills, NY 11375-4349 | 2017-02-08 |
| 1881063980 | Gabriella Mariah Mastronardi | Counselor | 10209 Metropolitan Ave, Forest Hills, NY 11375-6731 | 2015-09-18 |
| 1669879250 | Eshika Kalam | Counselor | 112-15 72nd Road, Suite Ll4, Forest Hills, NY 11375 | 2014-11-25 |
| 1699175356 | Lauren Jonke | Counselor | 6756 Selfridge St, Forest Hills, NY 11375-5739 | 2014-09-01 |
| 1932521531 | Javier Moreira | Counselor | 9218 70th Ave, Forest Hills, NY 11375-5827 | 2014-01-16 |
| 1780938167 | Katarzyna Patrycja Oskarbska | Counselor | 10470 Queens Blvd Ste 201, Forest Hills, NY 11375-3694 | 2012-11-06 |
| 1134484413 | Esmery De Jesus | Counselor | 103-26 68th Street, Forest Hills, NY 11375-3317 | 2012-07-11 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on JESSICA NELSON.
| 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.