MRS. JULIE ELLEDGE (NPI# 1316346497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316346497 |
| Entity Type | Individual |
| Full Name | MRS. JULIE ELLEDGE |
| Credential | LMFT182 |
| Practice Address |
610 W Broadway Ave 109 Jackson WY 83001-8213 |
| Mailing Address |
220 W Pearl Ave 3501 Jackson WY 83001-8406 |
| Practice Telephone | 3072008777 |
| Mailing Telephone | 3072008777 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | MFC33952 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | LMFT182 | WY | Behavioral Health & Social Service Providers |
| Street Address |
610 W BROADWAY AVE 109 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245353168 | Michael J Wine | Dentist | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2007-04-07 |
| 1255871018 | Danielle Christensen | Social Worker | 610 W Broadway Ave, Ste L1, Jackson, WY 83001-8213 | 2017-02-27 |
| 1841665668 | Anne Ellingson | Counselor | 610 W Broadway Ave, Suite L1, Jackson, WY 83001-8213 | 2015-12-04 |
| 1144603598 | Dustin Rifkin | Counselor | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2015-07-02 |
| 1265844815 | Ryan Burke | Counselor | 610 W Broadway Ave, Ste L1, Jackson, WY 83001-8213 | 2014-05-29 |
| 1033535216 | Jonathan Figg | Internal Medicine | 610 W Broadway Ave, Suite 108, Jackson, WY 83001-8213 | 2014-03-11 |
| 1952662751 | Jonathon C Baillie | Counselor | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2012-06-07 |
| 1881973345 | Thekla Margaret Vonhagke | Counselor | 610 W Broadway Ave, Suite L 1, Jackson, WY 83001-8213 | 2011-08-15 |
| 1053647990 | Samantha Baillie | Counselor | 610 W Broadway Ave, Suite L 1, Jackson, WY 83001-8213 | 2009-10-28 |
| 1457500860 | Allison Walsh-day | Social Worker | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341914 | Heidi Christine Somers | Marriage & Family Therapist | 330 N Glenwood St, Jackson, WY 83001-8765 | 2019-02-01 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
| 1104299791 | Ashlie Edwards Counseling | Marriage & Family Therapist | 91 Stonebridge Blvd Ste 104, Jackson, TN 38305-2042 | 2015-11-04 |
| 1295114361 | Gladys Felicia Dinkins | Marriage & Family Therapist | 5360 Bld. C, Jackson, MS 39206-4101 | 2015-05-22 |
| 1871909689 | Revelation of Hope Counseling Services, LLC | Marriage & Family Therapist | 386 Carriage House Dr Ste B, Jackson, TN 38305-2236 | 2014-07-02 |
| 1003233008 | Leanne Braddock | Marriage & Family Therapist | 561 E Main St, Jackson, TN 38301-6451 | 2014-03-27 |
| 1326388307 | Susan Woodard | Marriage & Family Therapist | 1801 Crane Ridge Dr Ste A, Jackson, MS 39216-4902 | 2013-02-27 |
| 1629362124 | Bradley Bonnett | Marriage & Family Therapist | 401 West St Ste 115, Jackson, MN 56143-1219 | 2011-06-02 |
| 1235438235 | Kathleen Marie Pignataro | Marriage & Family Therapist | 235 New York Ranch Rd Ste C, Jackson, CA 95642-2173 | 2011-03-17 |
| 1629306303 | Lauraq Elise Santomauro | Marriage & Family Therapist | 460 South Jackson Ave., Jackson, WY 83001 | 2009-11-18 |
| Find all providers in JACKSON | ||||
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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.