JESSICA NICOLE MOODY (NPI# 1205065380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205065380 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE MOODY |
| Other Name | JESSICA NICOLE CORDOVA |
| Credential | LCPC, NCC, C.A.S.E. |
| Practice Address |
1212 Cowpens Ave Towson MD 21286-1720 |
| Practice Telephone | 4438091940 |
| Practice Fax Number | 4438095898 |
| Mailing Telephone | 4438091940 |
| Mailing Fax Number | 4438095898 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC3100 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828561 | Jessica Moody | Social Worker | 215 Amaya Ave, Youngsville, LA 70592-6713 | 2020-07-09 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1639676372 | Jessica Lee Moody | Massage Therapist | 19068 Jensen Way Ne, Poulsbo, WA 98370 | 2018-04-10 |
| 1497269955 | Jessica Michelle Moody | Social Worker | 3336 S Pioneer Pkwy Ste 201, West Valley City, UT 84120-2085 | 2017-11-20 |
| 1861935504 | Jessica Moody | Nurse Practitioner | 501 Virginia Dr, Batesville, AR 72501-7331 | 2016-11-29 |
| 1497118541 | Jessica Moody | Family Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2016-04-05 |
| 1871952093 | Jessica Moody | Nurse Practitioner | 921 Gessner Rd, Houston, TX 77024-2501 | 2016-02-16 |
| 1083918502 | Jessica Moody | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2010-12-23 |
| 1558566844 | Jessica Moody | Dental Assistant | 1310 24th Ave S, Nashville, TN 37212-2637 | 2007-06-18 |
| 1043349400 | Jessica Mae Moody | Physician Assistant | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374-7280 | 2007-03-03 |
| Street Address |
1212 COWPENS AVE |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457348757 | Amy Erin Magladry | Specialist/Technologist | 1212 Cowpens Ave, Towson, MD 21286-1720 | 2005-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1760099691 | Allison R Jensen | Counselor | 7600 Osler Dr Ste 206, Towson, MD 21204-7701 | 2020-09-24 |
| 1891303756 | Dawn L Byrne | Counselor | 11 Goucher Woods Ct, Towson, MD 21286-5658 | 2020-07-16 |
| 1013537273 | Bright Star Counseling and Consulting, LLC | Counselor | 200 E Joppa Rd Ste 402, Towson, MD 21286-3109 | 2020-04-17 |
| 1285273979 | Lisa Cooper-lucas | Counselor | 40 W Chesapeake Ave Ste 507, Towson, MD 21204-4892 | 2019-12-30 |
| 1295379246 | Jennifer West | Counselor | 320 E Towsontown Blvd Ste 201, Towson, MD 21286-5331 | 2019-11-03 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1417508953 | Resonate Counseling Services | Counselor | 8415 Bellona Ln Ste 217, Towson, MD 21204-2066 | 2019-09-26 |
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1821656109 | Maria Karolenko | Counselor | 8501 La Salle Rd Ste 115, Towson, MD 21286-5919 | 2019-06-03 |
| Find all providers in TOWSON | ||||
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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.