JENNIFER L REILLY (NPI# 1558348847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558348847 |
| Entity Type | Individual |
| Full Name | JENNIFER L REILLY |
| Credential | MA |
| Practice Address |
257 Indiana Ave Ste B1 Valparaiso IN 46383-5543 |
| Mailing Address |
4212 Onyx Ct Valparaiso IN 46385-7301 |
| Practice Telephone | 2195107260 |
| Mailing Telephone | 2195107260 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2014-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39001660A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000353217 | 01 |
| IN | LMHC | 39001660A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340707 | Jennifer Reilly | Licensed Practical Nurse | 62 Sugar Toms Lane, East Norwich, NY 11732 | 2019-11-15 |
| 1437564432 | Jennifer Reilly | Occupational Therapy Assistant | 15 Abacus Ave, Ormond Beach, FL 32174-1047 | 2014-06-27 |
| 1366737066 | Jennifer Marie Reilly | Behavioral Analyst | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2011-06-10 |
| 1386974061 | Jennifer M Reilly | Acupuncturist | 11810 Industrial Ct, Auburn, CA 95603-9584 | 2010-01-03 |
| 1821327024 | Jennifer Connelly Reilly | Nurse Practitioner | 5875 Bremo Rd Ste 701, Richmond, VA 23226-1928 | 2009-12-17 |
| 1811140957 | Jennifer Reilly | Speech-Language Pathologist | 48 Leibrock Ave, Lindenhurst, NY 11757-1824 | 2008-11-03 |
| 1639783418 | Jennifer Reilly | Occupational Therapist | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2020-08-31 |
| 1528691268 | Jennifer Lynne Reilly | Counselor | 68 North Front Street, New Bedford, MA 02740 | 2020-02-21 |
| 1104328624 | Jennifer A Reilly | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2018-02-28 |
| 1568911873 | Jennifer Reilly | Nurse Practitioner | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2016-09-27 |
| Street Address |
257 INDIANA AVE STE B1 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404619 | Dana Lynn Samardzich | Counselor | 439 Scarborough Rd, Valparaiso, IN 46385-8008 | 2020-10-14 |
| 1053928523 | Jennifer Tsilimos | Counselor | 365 Midway Dr, Valparaiso, IN 46385-7526 | 2020-09-28 |
| 1770194227 | Desadarea D Zylstra | Counselor | 2801 Bertholet Blvd Ste 301, Valparaiso, IN 46383-7959 | 2020-08-10 |
| 1396355772 | Josefina Aurora Reign | Counselor | 204 Franklin St Apt 17, Valparaiso, IN 46383-4888 | 2020-07-31 |
| 1316599251 | Kathleen Ann Strohbach | Counselor | 8 Morgan Blvd Ste A, Valparaiso, IN 46383-4836 | 2019-07-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1619432119 | Life and Trauma Survivor Center | Counselor | 502 Wall St Ste 105, Valparaiso, IN 46383-2599 | 2019-02-08 |
| 1851865281 | Sherrie Ann Shivok | Counselor | 1850 Lawndale Dr, Valparaiso, IN 46383-6615 | 2019-01-18 |
| 1588158091 | Compass Counseling Center Inc | Counselor | 916 Jefferson St Unit B, Valparaiso, IN 46383-5006 | 2018-06-18 |
| 1427542158 | Matthew Wells | Counselor | 257 Indiana Ave Ste D6, Valparaiso, IN 46383-6180 | 2018-06-16 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on JENNIFER L REILLY.
| 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.