JESSICA NICHOLE DAVIS (NPI# 1457781924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457781924 |
Entity Type | Individual |
Full Name | JESSICA NICHOLE DAVIS |
Credential | LCPC |
Practice Address |
100 Batson Ct Ste 206 New Lenox IL 60451-1565 |
Mailing Address |
14453 Stately Oaks Circle Homer Glen IL 60491-9394 |
Practice Telephone | 8154095940 |
Mailing Telephone | (309) 696-7584 |
Enumeration Date | 2013-11-20 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180.009933 | IL | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
178.009185 | IL | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
8616 Northern Ave, Rockford, IL 611075309 | 8153328003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780216861 | Jessica Nichole Davis | Physical Therapist | 1413 W Broadway Ave, Maryville, TN 37801-3121 | 2020-02-06 |
1629534367 | Jessica Davis | Homemaker | 307 N Georgia Ave # 307, Cocoa, FL 32922-6222 | 2019-02-19 |
1265906549 | Jessica Alexis Davis | Behavioral Analyst | 210 Talsrock Way Ste 3, Cary, NC 27519-1906 | 2019-01-19 |
1346758430 | Jessica Nicole Davis | Student in an Organized Health Care Education/Training Program | 2300 8th Ave S Apt 448, Nashville, TN 37204-2475 | 2018-01-11 |
1346768272 | Jessica Amiee Davis | Doula | 5805 E 40th Ter, Kansas City, MO 64129-1713 | 2017-08-30 |
1154845782 | Jessica Lynn Davis | Social Worker | 530 Beacon Pkwy W Ste 401, Birmingham, AL 35209-3196 | 2017-07-26 |
1699213769 | Jessica Davis | Nutritionist | 9404 Mayflower Ct, Laurel, MD 20723-1747 | 2017-02-08 |
1922543891 | Jessica Davis | Licensed Practical Nurse | 1111 Oakhill St, Seffner, FL 33584-4513 | 2016-12-30 |
1427506054 | Jessica Davis | Nurse Practitioner | 1824 Dimond Dr, Anchorage, AK 99507-1308 | 2016-09-12 |
1033584636 | Jessica Renee Davis | Social Worker | 314 N Front St, Apt A Second Floor, Wormleysburg, PA 17043-1112 | 2015-12-08 |
Street Address |
100 BATSON CT STE 206 |
City | NEW LENOX |
State | IL |
Zip Code | 60451-1565 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447874771 | Experience Counseling LLC | Counselor | 100 Batson Ct Ste 206, New Lenox, IL 60451-1565 | 2020-06-02 |
1265074363 | Alexandra Paige Morgan | Counselor | 100 Batson Ct Ste 206, New Lenox, IL 60451-1565 | 2019-10-10 |
1932695467 | Chloe Kristina Cooper | Counselor | 100 Batson Ct Ste 206, New Lenox, IL 60451-1565 | 2018-07-09 |
1932622974 | Davis-smith Mental Health Provider, Ltd. | Counselor | 100 Batson Ct Ste 206, New Lenox, IL 60451-1565 | 2017-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
Find all providers in zip 60451 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861048993 | Katherine Anne Formentini | Counselor | 1414 Eagle Vista Dr, New Lenox, IL 60451-2315 | 2019-08-14 |
1871051912 | Sarah Wertelka | Counselor | 1820 Lewis Ln, New Lenox, IL 60451-9609 | 2019-03-07 |
1306341011 | Amy Busse | Counselor | 1938 E Haven Ave Unit 219, New Lenox, IL 60451-3860 | 2018-03-26 |
1073069027 | Krista Liona Kijanowski | Counselor | 114 Town Crest Dr, Apt 2a, New Lenox, IL 60451-1250 | 2016-08-30 |
1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
1235408188 | April Allison Balzhiser | Counselor | 702 Princeton Ln, New Lenox, IL 60451-3816 | 2011-12-21 |
1013209501 | Daniel L Parrish | Counselor | 500 Gougar Rd, New Lenox, IL 60451-1553 | 2011-05-03 |
1629260567 | Bonnie Hassan | Counselor | 1361 E Lincoln Hwy, New Lenox, IL 60451-2153 | 2007-08-14 |
1255307849 | Steven W Augustus | Counselor | 320 Alana Dr, New Lenox, IL 60451-1784 | 2006-02-24 |
1336789338 | Courtney Daly | Counselor | 346 Alana Dr, New Lenox, IL 60451-1784 | 2020-01-08 |
Find all providers in NEW LENOX |
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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.