JADA L KOUBA (NPI# 1578958294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578958294 |
| Entity Type | Individual |
| Full Name | JADA L KOUBA |
| Credential | LCPC-C |
| Practice Address |
1321 Washington Ave Suite 312 Portland ME 04103-3636 |
| Mailing Address |
21 Bailey Farm Rd Freeport ME 04032-5808 |
| Practice Telephone | 2075776037 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
XL4332 | ME | Behavioral Health & Social Service Providers |
| Street Address |
1321 WASHINGTON AVE SUITE 312 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902850589 | Longview Psychotherapy PC | Social Worker | 1321 Washington Ave, Suite 304, Portland, ME 04103-3636 | 2006-05-19 |
| 1528502002 | Kristen Mickkelsen Pmhnp Bc LLC | Nurse Practitioner | 1321 Washington Ave, Suite 304, Portland, ME 04103-3636 | 2016-12-19 |
| 1710399506 | Michelle Atienza | Nurse Practitioner | 1321 Washington Ave, Portland, ME 04103-3636 | 2014-05-28 |
| 1659782993 | Sean Murphy | Chiropractor | 1321 Washington Ave, Suite 212, Portland, ME 04103-3636 | 2014-05-08 |
| 1568872802 | Daly Grace Pa | Chiropractor | 1321 Washington Ave, Suite 212, Portland, ME 04103-3636 | 2014-05-07 |
| 1518304872 | Dialectical and Cognitive Behavioral Therapy of Nh, Pllc | Community/Behavioral Health | 1321 Washington Ave, Suite 304, Portland, ME 04103-3636 | 2013-05-28 |
| 1497096051 | Jennifer A Blanchette | Psychologist | 1321 Washington Ave, Portland, ME 04103-3654 | 2013-03-07 |
| 1336484369 | Yvonne L. Decory M.d., P.a. | Psychiatry & Neurology | 1321 Washington Ave, Suite 304, Portland, ME 04103-3636 | 2012-12-03 |
| 1407150303 | Lauren Herdrich | Counselor | 1321 Washington Ave, Portland, ME 04103-3636 | 2011-01-06 |
| 1538291356 | Joseph M Hayes | Chiropractor | 1321 Washington Ave, Suite 212, Portland, ME 04103-3636 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| Find all providers in PORTLAND | ||||
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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.