EDWARD JOSEPH JEDLICKA (NPI# 1467737346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467737346 |
| Entity Type | Individual |
| Full Name | EDWARD JOSEPH JEDLICKA |
| Credential | MS, LPC |
| Practice Address |
W6144 Aerotech Dr Appleton WI 54914-7503 |
| Mailing Address |
W2543 Skyview Ct Appleton WI 54915-8764 |
| Practice Telephone | 9207332065 |
| Mailing Telephone | 9209154001 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2239-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
W6144 AEROTECH DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-7503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336331248 | Casey Ann Hanson | Counselor | W6144 Aerotech Dr, Appleton, WI 54914-7503 | 2007-08-14 |
| 1598379935 | Kristin Ann Hooper | Counselor | W6144 Aerotech Dr, Appleton, WI 54914-7503 | 2020-09-02 |
| 1982131108 | Gina Flanagan | Counselor | W6144 Aerotech Dr, Appleton, WI 54914-7503 | 2017-05-18 |
| 1306395504 | Matthew Fischer | Counselor | W6144 Aerotech Dr, Appleton, WI 54914-7503 | 2016-09-28 |
| 1144686973 | Michael Ronald Wendt | Counselor | W6144 Aerotech Dr, Appleton, WI 54914-7503 | 2016-01-08 |
| 1639550197 | Phan Yen Hong-lishner | Psychologist | W6144 Aerotech Dr, Appleton, WI 54914-7503 | 2015-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236178 | Katherine Kirchner | Counselor | 1636 W Homestead Dr, Appleton, WI 54914-2026 | 2020-05-11 |
| 1679114136 | Trever Jaymes Allcock | Counselor | 711 N Lynndale Dr, Appleton, WI 54914-3078 | 2019-10-04 |
| 1780232231 | Mark Andrew Wilkerson | Counselor | 446 N Westhill Blvd Ste 6, Appleton, WI 54914-6533 | 2019-08-28 |
| 1013563030 | Nhia Moua | Counselor | 5601 W Grande Market Dr Ste N, Appleton, WI 54913-8511 | 2019-08-15 |
| 1457819419 | Charisma L Deyo-sonntag | Counselor | 1047 N Lynndale Dr Ste 2b, Appleton, WI 54914-3059 | 2019-03-08 |
| 1639643802 | Julie Ann Prudom | Counselor | 524 W Wayfarer Ct, Appleton, WI 54913-6865 | 2019-01-21 |
| 1588130827 | Joann Marie Miller | Counselor | 5601 W Grande Market Dr Ste A1, Appleton, WI 54913-8506 | 2018-10-14 |
| 1003301870 | Walk By Faith Counseling, LLC | Counselor | W6268 Spencer Rd, Appleton, WI 54914-7528 | 2018-06-25 |
| 1699269241 | Deanna Sieg | Counselor | 1920 N Casaloma Dr, Appleton, WI 54913-7982 | 2018-06-18 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| Find all providers in APPLETON | ||||
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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.