JENNIFER UPTON (NPI# 1528675030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528675030 |
| Entity Type | Individual |
| Full Name | JENNIFER UPTON |
| Practice Address |
904 E Martin Luther King Dr Centralia IL 62801 |
| Practice Telephone | 6185331391 |
| Practice Fax Number | 6185330012 |
| Mailing Telephone | 6185331391 |
| Mailing Fax Number | 6185330012 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033357769 | Jennifer Joy Upton | Counselor | 405 Commercial Ct, Suite E, Venice, FL 34292-1653 | 2009-02-03 |
| 1255718359 | Jennifer Upton | Nurse Practitioner | 226 N Union Ave, New Braunfels, TX 78130-4450 | 2015-04-28 |
| 1588074074 | Jennifer Lyn Upton | Counselor | 9 Centennial Dr, Peabody, MA 01960-7939 | 2014-05-06 |
| Street Address |
904 E MARTIN LUTHER KING DR |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1063010411 | Briea Webster | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-10-16 |
| 1245837186 | Kyniesha Overall | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2020-10-05 |
| 1841805538 | Josye Lynn Carter | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-09-10 |
| 1235740267 | Mikayla Meyer | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-08-13 |
| 1437760469 | Haleigh Zimmerman | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-08-13 |
| 1003439340 | Victoria Bledsoe | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-05-21 |
| 1598398265 | Czareenah Dela Cruz Apostol | Licensed Practical Nurse | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-02-20 |
| 1235761792 | Leslie Carver | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-02-12 |
| 1861032021 | Danielle Ranes | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801-3058 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| 1932447745 | Amanda Winchell | Counselor | 904 Mlk Dr, Centralia, IL 62801 | 2013-01-29 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385821 | Joshua Bigner | Counselor | 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 | 2020-10-28 |
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1376078246 | Ashley Patrice Broussard | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2017-04-27 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1023552551 | Kelsey Dulle | Counselor | 904 Martin Luther King Drive, Centralia, IL 62801-3058 | 2016-12-19 |
| 1548703580 | Tiana Barbee | Counselor | 904 Mlk Drive, Centralia, IL 62801-3058 | 2016-11-23 |
| 1518411131 | Shelia Wilson | Counselor | 904 E. Martin Luther King, Centralia, IL 62801-3058 | 2016-08-11 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| Find all providers in CENTRALIA | ||||
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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.