JILL WELDUM


Address: 7030 E Genesee St, Fayetteville, NY 13066-1121
Phone: 3154921390

JILL WELDUM (NPI# 1386857217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386857217
Entity Type Individual
Full Name JILL WELDUM
Credential LMFT
Practice Address 7030 E Genesee St
Fayetteville
NY 13066-1121
Practice Telephone 3154921390
Mailing Telephone 3154921390
Enumeration Date 2007-05-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 0070 NY Behavioral Health & Social Service Providers

Office Location

Street Address 7030 E GENESEE ST
City FAYETTEVILLE
State NY
Zip Code 13066-1121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245274398 Jud Staller Psychiatry & Neurology 7030 E Genesee St, Fayetteville, NY 13066-1121 2006-06-16
1275839821 Niamh Doyle Psychologist 7030 E Genesee St, Fayetteville, NY 13066-1121 2011-01-31
1205089992 Consultation Services of Central New York - Medicine Provider, Pllc Clinic/Center 7030 E Genesee St, Suite 109, Fayetteville, NY 13066-1121 2008-10-28
1568635290 Maria Ditullio Counselor 7030 E Genesee St, Fayetteville, NY 13066-1121 2008-04-02
1780893792 Matthew Henry Rosa Psychiatry & Neurology 7030 E Genesee St, Suite 109, Fayetteville, NY 13066-1121 2007-05-22
1487792438 Lynn Carol Koss Speech-Language Pathologist 7030 E Genesee St, The White House Professional Offices, Fayetteville, NY 13066-1121 2007-02-02
1982793824 Cornelia Maria Buur Social Worker 7030 E Genesee St, Fayetteville, NY 13066-1121 2006-10-11
1063509552 Tracy A Lunney Counselor 7030 E Genesee St, Fayetteville, NY 13066-1121 2006-10-06
1265455620 Mary Elizabeth Jeannotte Psychologist 7030 E Genesee St, Fayetteville, NY 13066 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457819963 Word Wellness Center, LLC Psychologist 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 2019-03-05
1629529060 Lorna Boyer Chase Marriage & Family Therapist 109 White Heron Circle, Fayetteville, NY 13066 2016-10-20
1699221432 Roman Batyuk Nurse Practitioner 4100 Medical Center Drive, Fayetteville, NY 13066 2016-08-31
1427405133 National Eye Care, Inc Optometrist 5160 Kinloch Circle, Fayetteville, NY 13066 2016-05-23
1013375328 Kristin Kukenberger Chiropractor 7000 E Genesee St Bldg B, Fayetteville, NY 13066 2016-02-01
1124394671 Susan Hartman Brenizer Marriage & Family Therapist 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 2012-03-29
1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
1689815805 Menorah Park Group Residents Clinic/Center 12 Jamar Drive, Dewitt, NY 13066 2009-03-18
1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
1629232418 Tucker Martin Harris Otolaryngology 4000 Medical Center Dr # 117, Fayetteville, NY 13066 2008-07-11
Find all providers in zip 13066

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720639180 Eugene Mack Marriage & Family Therapist 3608 Talus Rd, Fayetteville, NC 28306-9717 2019-09-26
1447755822 Emily Jones Marriage & Family Therapist 5719 Danville Dr, Fayetteville, NC 28311-3419 2018-03-27
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
1205345790 Sarah Elizabeth Hudson Marriage & Family Therapist 214 Fairway Dr, Fayetteville, NC 28305 2017-09-27
1508381724 Tina Marie Duggins Marriage & Family Therapist 1611b Owen Dr # 4835884, Fayetteville, NC 28304-3425 2017-08-09
1932640828 Monique Rendles Marriage & Family Therapist 2106 Hope Mills Rd, Fayetteville, NC 28304-4226 2017-03-13
1629529060 Lorna Boyer Chase Marriage & Family Therapist 109 White Heron Circle, Fayetteville, NY 13066 2016-10-20
1972958601 Mark Knox Marriage & Family Therapist 1611 Owen Dr, Fayetteville, NC 28304-3425 2016-05-02
1861867053 Zulima Webster Marriage & Family Therapist 11941 Fairway Overlook, Fayetteville, GA 30215-6637 2015-12-14
1124490362 Brynn Rogers Marriage & Family Therapist 309 N Manlius St, Fayetteville, NY 13066-1433 2015-10-27
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 13066

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Dataset Information

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.

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