JACQUE KAREN GENTRY (NPI# 1548808900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548808900 |
| Entity Type | Individual |
| Full Name | JACQUE KAREN GENTRY |
| Practice Address |
1445 E Rio Rd Charlottesville VA 22901-1751 |
| Mailing Address |
55 Beattie Pl Ste 8 Greenville SC 29601-2165 |
| Practice Telephone | 8668669277 |
| Mailing Telephone | 8644206068 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| 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 |
| Street Address |
1445 E RIO RD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| 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 |
|---|---|---|---|---|
| 1619515970 | Mary Elizabeth Feamster | Counselor | 2625 Meriwether Dr, Charlottesville, VA 22901-9512 | 2019-12-18 |
| 1396393187 | J Brian Suchocki | Counselor | 709 W Main St Ste A, Charlottesville, VA 22903-4570 | 2019-08-27 |
| 1093285033 | Lauren May | Counselor | 709a W Main St, Charlottesville, VA 22903-4570 | 2018-12-03 |
| 1639460546 | Hunter Teets | Counselor | 618 Forest St Ste B, Charlottesville, VA 22903-5267 | 2011-04-26 |
| 1972830107 | Jessica Jane Moutenot-small | Counselor | 421 Park St Ste 2, Charlottesville, VA 22902-4749 | 2009-11-09 |
| 1912198227 | John W Prickett | Counselor | 3500 Remson Ct., Charlottesville, VA 22906 | 2007-08-05 |
| 1013043108 | Maurice Apprey | Counselor | 2955 Ivy Road, Suite 210, Uva Northridge, Charlottesville, VA 22903 | 2007-02-26 |
| 1265567093 | Kathryn Korbon | Counselor | 350 Gillums Ridge Rd, Charlottesville, VA 22903-7653 | 2007-02-22 |
| 1821166778 | Chapin Faulconer | Counselor | 1 Boars Head Pl, Charlottesville, VA 22903-4628 | 2006-11-30 |
| 1336244201 | Poehailos Dupont & Assoc | Counselor | 887b Rio East Court, Charlottesville, VA 22901 | 2006-09-14 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on JACQUE KAREN GENTRY.
| 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.