MS. JILL JANAY SPRAGUE (NPI# 1407984966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407984966 |
Entity Type | Individual |
Full Name | MS. JILL JANAY SPRAGUE |
Other Name | MS. JILL JANAY HARRIS |
Credential | MA LCPC |
Practice Address |
113 N Commercial Emmett ID 83617 |
Mailing Address |
2530 S Substation Rd Emmett ID 83617 |
Practice Telephone | 2083988473 |
Practice Fax Number | 2083988311 |
Mailing Telephone | 2083651269 |
Enumeration Date | 2007-02-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
3234 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | BLUE SHIELD OF IDAHO | 000010035506 | 01 |
ID | BLUE CROSS OF IDAHO | Q5886 | 01 |
Street Address |
113 N COMMERCIAL |
City | EMMETT |
State | ID |
Zip Code | 83617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073641510 | Randi Jo Korell | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
1013019181 | Alan Robert Benson | Nurse Anesthetist, Certified Registered | 1202 E Locust, Emmett, ID 83617 | 2006-09-01 |
Find all providers in zip 83617 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861739286 | Latisha Bowman | Counselor | 316 S Boise Ave, Emmett, ID 83617-2964 | 2013-01-04 |
1417572967 | Wendi Marie Densley | Counselor | 1016 E Locust St, Emmett, ID 83617-2776 | 2020-06-10 |
1073641510 | Randi Jo Korell | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
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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.