MRS. JESSICA RAE FRY (NPI# 1578035069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578035069 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA RAE FRY |
| Other Name | JESSICA RAE LLOYD |
| Credential | LPC |
| Practice Address |
5570 Derry St Harrisburg PA 17111-3517 |
| Mailing Address |
440a Grant St Middletown PA 17057-1178 |
| Practice Telephone | 7175259804 |
| Mailing Telephone | 5702417221 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC010966 | PA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PC010966 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1808 Colonial Village Ln Ste 103, Lancaster, PA 176016745 | 7173910172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306370515 | Jessica Fry | Nurse Practitioner | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2017-04-13 |
| 1326232547 | Jessica Teresa Fry | Pediatrics | 225 E Chicago Ave # 45, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611-2991 | 2007-08-30 |
| 1972668788 | Jessica Sue Fry | Dietitian, Registered | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2006-12-22 |
| Street Address |
5570 DERRY ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770776874 | Kristen M Gaughan | Counselor | 5570 Derry St, Harrisburg, PA 17111-3504 | 2007-08-22 |
| 1649759796 | Chelsea Love Lacy | Social Worker | 5570 Derry St, Harrisburg, PA 17111-3517 | 2018-08-09 |
| 1891126249 | Melissa Ruiz | Licensed Practical Nurse | 5570 Derry St, Harrisburg, PA 17111-3504 | 2013-12-11 |
| 1275767170 | Betsy Lynn Stone | Counselor | 5570 Derry St, Harrisburg, PA 17111-3504 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805019 | Essential Wellness Counseling Pllc | Counselor | 4350 Main St Ste 213, Harrisburg, NC 28075-7448 | 2020-06-12 |
| 1417588138 | Anyea Abney | Counselor | 4755 Linglestown Rd Ste 206, Harrisburg, PA 17112-8547 | 2020-01-31 |
| 1861960502 | Kelsi Graff | Counselor | 3544 N Progress Ave Ste 201, Harrisburg, PA 17110-9638 | 2018-11-12 |
| 1598289951 | A Behavioral Health Cooperative, L.L.C. | Counselor | 32663 Bush Garden Dr, Harrisburg, OR 97446-9751 | 2017-07-27 |
| 1811429491 | Christine Cappuzzo | Counselor | 2280 Mockingbird Rd, Harrisburg, PA 17112-9615 | 2017-04-01 |
| 1942658901 | Tuan Bui | Counselor | 21 S River St, Harrisburg, PA 17101-2017 | 2016-06-01 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1942611660 | Ruth Cruz | Counselor | 1717 Fulton St, Harrisburg, PA 17102-1632 | 2014-05-15 |
| 1700146719 | Aaron Clinton Oakes | Counselor | 450 N 6th St, Harrisburg, OR 97446-8620 | 2012-05-23 |
| 1710253166 | James K Holt | Counselor | 5400 Chambers Hill Road, Harrisburg, PA 17111-2545 | 2012-03-30 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on MRS. JESSICA RAE FRY.
| 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.