JESSICA LYNN NEELY (NPI# 1376810838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376810838 |
Entity Type | Individual |
Full Name | JESSICA LYNN NEELY |
Other Name | JESSICA LYNN NEELY |
Credential | CADCI |
Practice Address |
1333 Nw 9th Street Prineville OR 97754 |
Practice Telephone | 5414472631 |
Practice Fax Number | 5414472616 |
Mailing Telephone | 5414472631 |
Mailing Fax Number | 5414472616 |
Enumeration Date | 2011-11-28 |
Last Update Date | 2011-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
09-P-04 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225499783 | Jessica Neely | Peer Specialist | 403030 W 2700 Rd, Ramona, OK 74061-3543 | 2016-03-11 |
1760439301 | Jessica Anne Neely | Social Worker | 1103 E Main St, Brownsburg, IN 46112 | 2006-05-28 |
1548814692 | Jessica Neely | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2019-07-27 |
1235574211 | Jessica Ann Neely | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, Box 0110, San Francisco, CA 94143-0110 | 2013-05-06 |
1821107020 | Jessica J Neely | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-08-30 |
Street Address |
1333 NW 9TH STREET |
City | PRINEVILLE |
State | OR |
Zip Code | 97754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
1932396223 | Assisted Living Concepts Inc | Assisted Living Facility | 150 South Williamson Drive, Prineville, OR 97754 | 2007-10-01 |
Find all providers in zip 97754 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245571777 | Chrystal Kay Johnson | Counselor | 190 Nw 4th St, Prineville, OR 97754-1820 | 2013-03-07 |
1265771604 | Choices Recovery Services, LLC | Counselor | 357 Ne Court St, Prineville, OR 97754-1936 | 2013-02-05 |
1396002440 | Silvia C Gonzalez | Counselor | 550 Nw 5th St, 360 Nw Beaver St, Prineville, OR 97754-1728 | 2012-04-13 |
1497073050 | Darla Kay Byus | Counselor | 709 Ne 3rd St, Prineville, OR 97754-2023 | 2010-05-06 |
1114118833 | Gearl C Seal | Counselor | 205 Ne 4th St, Prineville, OR 97754-1925 | 2007-08-07 |
1952450249 | Ogilvia Pineda | Counselor | 365 Ne Court St, Prineville, OR 97754-1936 | 2007-01-09 |
1104423565 | Nicole Hendrickson | Counselor | 1059 Nw Madras Hwy, Prineville, OR 97754-1416 | 2020-10-07 |
1083279640 | Charles Keith Sanborn | Counselor | 357 Ne Court St, Prineville, OR 97754-1936 | 2019-05-08 |
1518522259 | Page Pedder | Counselor | 357 Ne Court St, Prineville, OR 97754-1936 | 2019-05-08 |
1265097604 | Andrea Hope Olsen | Counselor | 357 Ne Court St, Prineville, OR 97754-1936 | 2019-05-01 |
Find all providers in PRINEVILLE |
City | PRINEVILLE |
Zip Code | 97754 |
Please comment or provide details below to improve the information on JESSICA LYNN NEELY.
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.