MOLLY JELAK (NPI# 1164980058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164980058 |
| Entity Type | Individual |
| Full Name | MOLLY JELAK |
| Credential | LPC |
| Practice Address |
905 E Bay Point Rd Bayside WI 53217-1355 |
| Practice Telephone | 4146403475 |
| Mailing Telephone | 4146403475 |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7072-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
905 E BAY POINT RD |
| City | BAYSIDE |
| State | WI |
| Zip Code | 53217-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013566363 | Emily D'auria | Counselor | Fort Totten Bldg 413a, Bayside, NY 11364 | 2019-09-10 |
| 1861908618 | Amanda Osman | Counselor | 4245 Corporal Kennedy St, 3e, Bayside, NY 11361-2768 | 2017-12-15 |
| 1447776612 | Elizabeth Anne Swearingen | Counselor | Fort Totten Building 413b, Counseling Service Unit of Fdny, Bayside, NY 11359 | 2017-08-18 |
| 1942608575 | Hannah Choi | Counselor | 3850 Bell Blvd Ste A, Bayside, NY 11361-2028 | 2014-12-13 |
| 1063814325 | Yilin Chen | Counselor | 4234 212th St, Apt 3a, Bayside, NY 11361-2845 | 2014-09-18 |
| 1396097937 | William Mark Youberg | Counselor | 4236 201st St Apt 7c, Bayside, NY 11361-2506 | 2012-10-05 |
| 1073810545 | Kristen Dee Graeper | Counselor | 3524 216th St, Bayside, NY 11361-1728 | 2011-02-18 |
| 1013151299 | Abby Renee Baker-lynch | Counselor | 211-11 Northern Blvd Yai, Bayside, NY 11361 | 2009-05-01 |
| 1801012802 | Ching Melody Chan | Counselor | 20627 46th Rd, Bayside, NY 11361-3128 | 2007-04-18 |
| 1457472730 | Eunae Christina Kim | Counselor | 21150 45th Dr, Bayside, NY 11361-3357 | 2007-04-03 |
| Find all providers in BAYSIDE | ||||
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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.