JERRETT JAY FERNANDEZ


Address: 1681 N Prospect Ave, Milwaukee, WI 53202-6720
Phone: (414) 273-8484

JERRETT JAY FERNANDEZ (NPI# 1518497189) 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) 1518497189
Entity Type Individual
Full Name JERRETT JAY FERNANDEZ
Credential SAC-IT, CNA
Practice Address 1681 N Prospect Ave
Milwaukee
WI 53202-6720
Practice Telephone (414) 273-8484
Mailing Telephone 4142738484
Enumeration Date 2017-06-15
Last Update Date 2017-06-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
18199-130 WI Behavioral Health & Social Service Providers

Office Location

Street Address 1681 N PROSPECT AVE
City MILWAUKEE
State WI
Zip Code 53202-6720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669889283 Roots Counseling Services, LLC Clinic/Center 1681 N Prospect Ave, Milwaukee, WI 53202-6720 2014-07-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053958298 Melanie Ann Pare Occupational Therapist 1414 N. Prospect Ave., Milwaukee, WI 53202 2019-12-06
1568921278 Sword Health Inc Health Educator 1020 North Broadway, Milwaukee, WI 53202 2019-03-13
1619446408 First Priority Home Care, LLC Home Health 342 W. Water Street, Suite 600, Milwaukee, WI 53202 2018-11-21
1346747169 Creative Counseling of Milwaukee Counselor 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 2018-04-09
1043692700 Matthew Weinlander Psychiatry & Neurology 827 N Cass St # 9, Milwaukee, WI 53202 2015-06-18
1437572831 Pathfinder Medical Group Family Medicine 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 2014-01-22
1669819785 Kate Savage Anzia Counselor 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 2013-05-30
1164773222 Rutell Counseling Services, L.L.C. Counselor 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 2012-09-28
1548563760 Susan Rose Westergren Pharmacist 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 2010-12-09
1174848816 Brian D Eiche Emergency Medicine 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 2010-04-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649879982 Veronicia S Green Counselor 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 2020-10-19
1932733193 1 Step Away Divine Counseling Service LLC Counselor 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 2020-02-26
1689216293 Carollyn Black Counselor 4892 N 19th St, Milwaukee, WI 53209-5757 2019-10-15
1861046146 Lisa Marie Ortiz Counselor 3336 S 76th St, Milwaukee, WI 53219-3805 2019-07-25
1891359576 Kenneth Ginlack Sr Consulting Services LLC Counselor 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 2019-04-27
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1992280218 Tanya Lynn Peters Counselor 9224 W Burleigh St, Milwaukee, WI 53222-3503 2018-10-02
1467948844 Alexcis Coleman Counselor 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 2018-07-09
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Competitor

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City MILWAUKEE
Zip Code 53202

Improve Information

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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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