JENNIFER WILDHABER (NPI# 1194013771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194013771 |
| Entity Type | Individual |
| Full Name | JENNIFER WILDHABER |
| Credential | ATR LCPC |
| Practice Address |
189 E Us Highway 40 Ste D Troy IL 62294-2267 |
| Practice Telephone | 6189792336 |
| Practice Fax Number | 6185055044 |
| Mailing Telephone | 6189792336 |
| Mailing Fax Number | 6185055044 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180007942 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178007168 | IL | Behavioral Health & Social Service Providers |
| Street Address |
189 E US HIGHWAY 40 STE D |
| City | TROY |
| State | IL |
| Zip Code | 62294-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306316492 | New Beginnings Counseling Services, LLC | Clinic/Center | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-11-30 |
| 1801365754 | Kaide Lynn Jackstadt | Speech-Language Pathologist | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-11-21 |
| 1194206607 | Diona Ranee Shelton | Social Worker | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-08-22 |
| 1194233114 | Tracy Lewis | Social Worker | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
| 1194056093 | Carol Ann Slazinik | Nurse Anesthetist, Certified Registered | 8634 Blackjack Hollow Ln, Troy, IL 62294 | 2010-01-18 |
| 1083786248 | Andrea B. Shaw, Lcsw | Social Worker | 552 Edwardsville Road, Troy, IL 62294 | 2006-11-14 |
| 1457456923 | Kurt Dick James | Dentist | 550 Edwardsville Rd, Troy, IL 62294 | 2006-09-13 |
| 1992713846 | Rhonda Beth Hanser | Dentist | 334 Bargraves Blvd, Troy, IL 62294 | 2006-08-04 |
| 1487692430 | Deborah Lea Fowler Dixon Bross | Family Medicine | 301 Edwardsville Road, Troy, IL 62294 | 2006-06-03 |
| 1225081052 | Patricia Ellen Miller | Pharmacist | 101 E Market, Troy, IL 62294 | 2006-05-19 |
| 1174576441 | Michael G Csaszar | Dentist | 7656 Plummer Business Drive, Troy, IL 62294 | 2006-05-18 |
| 1710946280 | Rodney L Lupardus | Family Medicine | 108 West Us Highway 40, Troy, IL 62294 | 2006-03-22 |
| 1992080774 | Larrah Lenn Duckworth | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294 | 2011-10-12 |
| Find all providers in zip 62294 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561945 | Jennifer Nichole Susan | Counselor | 1080 Kirts Blvd Ste 100, Troy, MI 48084-4853 | 2020-09-02 |
| 1275151631 | Kristin Colleen Ansel | Counselor | 838 Norwich Dr, Troy, MI 48084-2630 | 2020-07-10 |
| 1376167221 | Paula Denyes, Ma, Lpc, LLC | Counselor | 5705 Whitfield Dr, Troy, MI 48098-5112 | 2020-06-05 |
| 1750914818 | Karen Haley Cersley | Counselor | 5578 Richmond Rd Ste 203, Troy, VA 22974-4421 | 2020-02-18 |
| 1750920922 | Kimberly Lynn Roberts | Counselor | 68 Shirley Dr, Troy, MO 63379-6304 | 2020-01-05 |
| 1619532165 | Leslie Myers | Counselor | 116 E Missoula Ave, Troy, MT 59935-5993 | 2019-05-09 |
| 1669933842 | Carrie Pardon | Counselor | 3668 Livernois Rd, Troy, MI 48083-5035 | 2019-03-28 |
| 1265999353 | Jaime Collins | Counselor | 2489 Derby Rd, Troy, MI 48084-2663 | 2019-02-25 |
| 1255804126 | Natalie Elizabeth Grierson | Counselor | 305 Public Sq Ste 1, Troy, OH 45373-3894 | 2019-01-03 |
| 1538630231 | Felicia K Ewing | Counselor | 197 E Us Highway 40, Troy, IL 62294-2262 | 2018-12-06 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on JENNIFER WILDHABER.
| 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.