MRS. JESSICA HART BASS (NPI# 1558612010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558612010 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA HART BASS |
| Other Name | MS. JESSICA HART BYERLY |
| Credential | LCPC, LCPAT, ATR-BC |
| Practice Address |
8737 Brooks Dr Ste 108 Easton MD 21601-7474 |
| Practice Telephone | 8008672395 |
| Practice Fax Number | 4104430842 |
| Mailing Telephone | 8008672395 |
| Mailing Fax Number | 4104430842 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC6290 | MD | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LGP5307 | MD | Behavioral Health & Social Service Providers |
| N | 221700000X | Art Therapist | ATC139 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAGELLAN BEHAVIORAL HEALTH | 259147-000 | 01 |
| MD | TRICARE | 346646 | 01 |
| MD | CLAIMSBRIDGE | 522156095 | 01 |
| MD | 520202701 | 05 | |
| MD | HEALTHSMART | 522156095 | 01 |
| MD | MHNET | 7840093 | 01 |
| MD | AETNA | 7840093 | 01 |
| MD | BCBS LOCAL | LM49EA | 01 |
| MD | 609550002 | 05 | |
| MD | MHN | 346646 | 01 |
| MD | BCBS-BLUES | R968 | 01 |
| MD | 609500300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29520 Canvasback Dr, Easton, MD 216017124 | 4108225007 | 4108225569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346753787 | Jessica Nicole Bass | Nurse Practitioner | 306 Burris Park Dr, Spring, TX 77373-8430 | 2017-11-08 |
| 1790189314 | Jessica Bass | Licensed Practical Nurse | 11 Pondview Dr Apt 4, East Patchogue, NY 11772-6854 | 2014-10-09 |
| 1356964654 | Jessica Bass | Case Manager/Care Coordinator | 42382 Deluxe Plz Ste 34, Hammond, LA 70403-1236 | 2020-05-20 |
| 1669962700 | Jessica Bass | Student in an Organized Health Care Education/Training Program | 350 7th St N, Naples, FL 34102-5754 | 2018-05-15 |
| 1033475892 | Jessica Louise Bass | Nurse Practitioner | 1900 27th St, Vero Beach, FL 32960-3383 | 2012-04-05 |
| 1659607182 | Jessica Erin Bass | Pharmacist | 601 College St, Clinton, NC 28328-3501 | 2009-10-17 |
| 1538395256 | Jessica J. Bass | Social Worker | 417 Liberty St, Springfield, MA 01104-3736 | 2009-06-09 |
| 1689712978 | Jessica Robinson Bass | Social Worker | 8801 Lipan St, Thornton, CO 80260-4912 | 2007-02-01 |
| 1164570560 | Jessica Bass | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2007-01-08 |
| Street Address |
8737 BROOKS DR STE 108 |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326680091 | Andrea Dixon | Social Worker | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-10-14 |
| 1235790783 | Daphime Jackson | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-06-25 |
| 1902462427 | Lifes Energy Wellness Center Inc. | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-10 |
| 1679139125 | Nicole Morris | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-09 |
| 1811486962 | Lifes Energy Wellness Center Inc. | Registered Nurse | 8737 Brooks Dr Ste 108, Suite 108, Easton, MD 21601-7474 | 2018-05-04 |
| 1134636038 | Kathryn C Norman | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2018-01-02 |
| 1477974277 | Andrea Maria Kelley-freeman | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2013-12-20 |
| 1063840262 | Lateshia Jackson | Nurse Practitioner | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980926 | Cultivating Change Counseling | Counselor | 641 N 13th St Ste E101, Easton, PA 18042-1430 | 2020-10-20 |
| 1831711431 | Megan Allyn Duerring | Counselor | 25 Crest Blvd, Easton, PA 18045-3138 | 2020-05-18 |
| 1942820683 | Christina Greaves | Counselor | 2915 Morgan Hill Rd, Easton, PA 18042-7086 | 2020-04-23 |
| 1942783022 | Sharika Ford | Counselor | 123 S 22nd St Ste 104, Easton, PA 18042-3808 | 2018-09-13 |
| 1922529452 | Lindsay Mazzeo | Counselor | 3606 Nicholas St Unit B, Easton, PA 18045-5100 | 2017-07-06 |
| 1871037051 | Cindy Shortt | Counselor | 45 Knollcrest Rd, Easton, CT 06612-1413 | 2016-12-07 |
| 1770957698 | Rcg Counseling, LLC | Counselor | 37 Water Wheel Ln, Easton, PA 18045-7455 | 2015-11-16 |
| 1871981548 | Talia Elisabeth Steffensen | Counselor | 162 Muirfield Way, Easton, PA 18042-6985 | 2015-01-05 |
| 1881082592 | Sarah Harper Cloxton | Counselor | 100 S Hanson Street, Easton, MD 21601 | 2015-01-05 |
| 1083011993 | Melissa Renee Kovatch | Counselor | 3606 Nicholas St, B-3, Easton, PA 18045-5100 | 2014-11-21 |
| Find all providers in EASTON | ||||
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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.