JESSICA MOLEANO (NPI# 1205466604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205466604 |
| Entity Type | Individual |
| Full Name | JESSICA MOLEANO |
| Credential | MS, LPC |
| Practice Address |
1080 N Delaware Ave Philadelphia PA 19125-4330 |
| Mailing Address |
1421 E Wilt St Philadelphia PA 19125-2710 |
| Practice Telephone | 2154960707 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC009682 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1080 N DELAWARE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992872196 | Sarah Charlotte Goldfine-ward | Nurse Practitioner | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2006-11-30 |
| 1447885165 | Kiera L Rasmussen | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-03-04 |
| 1063043040 | Emma Vila-gillam | Behavioral Analyst | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-01-29 |
| 1891335246 | Elizabeth M Galbally | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-01-14 |
| 1740826858 | Honoris Manuel Ferreras | Marriage & Family Therapist | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-11-24 |
| 1932759925 | Lauren Mcneil | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-09-12 |
| 1295292795 | Jodie Antoine | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-02-21 |
| 1427533280 | Greater Philadelphia Health Action, Inc. | Clinic/Center | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-09-27 |
| 1619455706 | Kara Devers Fawley | Psychologist | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-08-01 |
| 1487162830 | Lauren Griesser | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
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| 1821605809 | Jessica Briddell-hasben | Counselor | 829 Grakyn Ln, Philadelphia, PA 19128-2005 | 2020-09-24 |
| 1538776653 | Eric Brown | Counselor | 8227 Thouron Ave, Philadelphia, PA 19150-2018 | 2020-09-24 |
| 1740896661 | Keya Middleton | Counselor | 2030 N 56th St, Philadelphia, PA 19131-3132 | 2020-09-16 |
| 1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
| 1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
| 1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
| 1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
| 1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
Please comment or provide details below to improve the information on JESSICA MOLEANO.
| 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.