MRS. ASHLEY CHRISTINE WIEDERMANN (NPI# 1255993200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255993200 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEY CHRISTINE WIEDERMANN |
| Credential | PLPC |
| Practice Address |
230 E Marydale Ave Soldotna AK 99669-7648 |
| Mailing Address |
2315 Wincanton Rd Saint Louis MO 63129-4340 |
| Practice Telephone | 9072623119 |
| Mailing Telephone | 3145987846 |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2019-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
230 E MARYDALE AVE |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676502 | Susan J Holit | Nurse Practitioner | 230 E Marydale Ave, Suite 1, Soldotna, AK 99669-7636 | 2005-08-17 |
| 1700403235 | Abigail Jorgensen | Family Medicine | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-06-30 |
| 1770113193 | Kawal Jooma | Social Worker | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-24 |
| 1649810433 | Chad Andrews | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2020-01-09 |
| 1922651587 | Jenni Rachel Brighton | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-22 |
| 1639722895 | Jana Lynn Focose | Case Manager/Care Coordinator | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-17 |
| 1851943690 | Sherrie Barlow | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-11 |
| 1942852702 | Daniel Shane Hill | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-11 |
| 1144882606 | Jennifer Morris | Community Health Worker | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-07-05 |
| 1912569021 | Celestia Luella Clark I | Social Worker | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126613 | Barlow Therapy | Counselor | 34848 Laura Ln, Soldotna, AK 99669-8827 | 2020-05-28 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1336555887 | Heather D Morning | Counselor | 224 Kenai Ave, Suite 103, Soldotna, AK 99669-7647 | 2014-07-04 |
| 1720170327 | John Richard Myers | Counselor | 42938 Kendanemken Ct, Soldotna, AK 99669-2086 | 2006-09-29 |
| 1841858693 | Maghan Kruzick | Counselor | 245 N Binkley St Ste 202, Soldotna, AK 99669-7500 | 2019-06-05 |
| 1912565540 | Phillip R Lazenby | Counselor | 245 N Binkley St, Soldotna, AK 99669-7500 | 2019-05-29 |
| 1023547882 | Molly Gretchen Davis | Counselor | 198 W Marydale Ave, Soldotna, AK 99669-7501 | 2017-06-06 |
| 1629504634 | Kenai River Counseling | Counselor | 44539 Sterling Hwy, #213, Soldotna, AK 99669-7920 | 2017-05-11 |
| 1699985903 | Chandler E Stevenson | Counselor | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2007-05-23 |
| 1740376169 | Kimberly J. Lindley | Counselor | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2006-10-04 |
| Find all providers in SOLDOTNA | ||||
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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.