JESSICA MARK (NPI# 1194102269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194102269 |
| Entity Type | Individual |
| Full Name | JESSICA MARK |
| Practice Address |
419 E 7th St The Dalles OR 97058-2676 |
| Practice Telephone | 5412965452 |
| Mailing Telephone | 5412965452 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | 104100000X | OR | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699223974 | Jessica Mark | Optometrist | 4211 Us Highway 27 N, Sebring, FL 33870-1917 | 2016-09-15 |
| 1598150765 | Jessica Mark | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2015-04-03 |
| Street Address |
419 E 7TH ST |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154332856 | North Central Public Health District | Case Management | 419 E 7th St, The Dalles, OR 97058-2676 | 2006-08-10 |
| 1740842616 | Kalyn Sherwood | Social Worker | 419 E 7th St, The Dalles, OR 97058-2676 | 2019-07-01 |
| 1386207447 | Breana Hesse | Social Worker | 419 E 7th St, The Dalles, OR 97058-2676 | 2019-04-15 |
| 1497214571 | Adrienne Danielle Streater | Case Manager/Care Coordinator | 419 E 7th St, The Dalles, OR 97058-2676 | 2019-03-18 |
| 1033676705 | Sharon Marie Lucia | Counselor | 419 E 7th St, The Dalles, OR 97058-2676 | 2019-02-28 |
| 1902379589 | Teresa Obregon | Counselor | 419 E 7th St, The Dalles, OR 97058-2676 | 2019-01-07 |
| 1669955290 | Daniel Scott Hoffman | Counselor | 419 E 7th St, The Dalles, OR 97058-2676 | 2018-09-10 |
| 1023599479 | Celina Gallegos | Registered Nurse | 419 E 7th St, The Dalles, OR 97058-2676 | 2018-08-23 |
| 1053826339 | John Robert Simmons | Case Manager/Care Coordinator | 419 E 7th St, The Dalles, OR 97058-2676 | 2017-12-07 |
| 1508312091 | Cedrienna J Dixon | Peer Specialist | 419 E 7th St, The Dalles, OR 97058-2676 | 2016-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898431 | Kathryn Bayer | Case Manager/Care Coordinator | 419 E 7th St # 208, The Dalles, OR 97058-2676 | 2016-01-04 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1881935898 | Eric Parker | Case Manager/Care Coordinator | 2010 Garrison St, The Dalles, OR 97058-1622 | 2013-03-15 |
| 1437442696 | Jeremy Weaver | Case Manager/Care Coordinator | 207 W 3rd St, The Dalles, OR 97058-1734 | 2011-05-20 |
| 1912512500 | Jonica Durbin | Case Manager/Care Coordinator | 401 E 3rd St Ste 101, The Dalles, OR 97058-2563 | 2020-09-10 |
| 1588277438 | Christy Leigh Thompson | Case Manager/Care Coordinator | 1060 Webber St, The Dalles, OR 97058-3749 | 2020-08-28 |
| 1467003707 | Megan Elizabeth Stone | Case Manager/Care Coordinator | 1060 Webber St, The Dalles, OR 97058-3749 | 2019-09-27 |
| 1801448808 | Nancy Nunez | Case Manager/Care Coordinator | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2019-07-10 |
| 1083266050 | Ethel Jo Marquez | Case Manager/Care Coordinator | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2019-07-10 |
| 1740742535 | Kimberly Ables | Case Manager/Care Coordinator | 401 E 3rd St Ste 101, The Dalles, OR 97058-2563 | 2019-04-02 |
| Find all providers in THE DALLES | ||||
| City | THE DALLES |
| Zip Code | 97058 |
Please comment or provide details below to improve the information on JESSICA MARK.
| 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.