JESSICA E WAGNER


Address: 4633 Aicholtz Rd, Cincinnati, OH 45244-1447
Phone: 5137521555

JESSICA E WAGNER (NPI# 1629608104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629608104
Entity Type Individual
Full Name JESSICA E WAGNER
Practice Address 4633 Aicholtz Rd
Cincinnati
OH 45244-1447
Mailing Address 4629 Aicholtz Rd
Cincinnati
OH 45244-1551
Practice Telephone 5137521555
Enumeration Date 2020-01-23
Last Update Date 2020-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

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1265982474 Jessica Wagner Counselor 224 Alexander St, Rochester, NY 14607-4000 2016-10-12
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1245606441 Jessica Danielle Wagner Nurse Practitioner 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 2015-08-11
1891187951 Jessica Wagner Physician Assistant 335 Glessner Ave, Mansfield, OH 44903-2269 2015-02-26
1316347198 Jessica Wagner Social Worker 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2014-08-28
1558701839 Jessica Leigh Wagner Behavioral Analyst 901 N Monroe St, Suite 200, Spokane, WA 99201-2104 2013-07-01
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Office Location

Street Address 4633 AICHOLTZ RD
City CINCINNATI
State OH
Zip Code 45244-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093933764 Shelly Lynn Baxter Counselor 4633 Aicholtz Rd, Cincinnati, OH 45244 2007-04-20
1962003475 Hillary Crippen Case Manager/Care Coordinator 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-11-03
1922607191 Mckenna Louise Benjamin Case Manager/Care Coordinator 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-10-20
1578170007 Morgan Leigh Johnson Case Manager/Care Coordinator 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-09-29
1043827579 Catherine Taylor Limbach Social Worker 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-09-29
1801401906 Ngoc Thanh Chu Nguyen Social Worker 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-09-15
1568077667 Carson Elizabeth Taylor Social Worker 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-09-15
1316559727 Holly Mae Hacker Case Manager/Care Coordinator 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-08-18
1033721444 Hannah Nicole Kipp Social Worker 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-08-18
1790397107 Sela Brazier Social Worker 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720586035 Angela Daniel Student in an Organized Health Care Education/Training Program 4633 Aicholtz Rd Lowr Level, Cincinnati, OH 45244 2018-02-01
1598277154 Jennifer Elizabeth Johnson Counselor 551 Cincinnati-batavia-pike, Cincinnati, OH 45244 2017-11-03
1811421480 Traci Bollman Speech-Language Pathologist 1145 Westchester Way, Cincinnati, OH 45244 2017-04-20
1114301496 Elizabeth Welch Marriage & Family Therapist 4629 Aicholtz Rd, Cincinnati, OH 45244 2015-07-16
1821439191 Rachel Ann Forster Social Worker 4629 Aicholtz Rd Ste 2, Cincinnati, OH 45244 2013-07-15
1033485883 Anne Marie Wise Social Worker 4629 Aicholtz Road, Cincinnati, OH 45244 2012-03-27
1366675118 Maorong Jiang Acupuncturist 7650 Piney Meadow Ln., Cincinnati, OH 45244 2009-08-27
1962673715 Ck of Cincinnati Inc Home Health 4495 Mt.carmel-tobasco Rd, Cincinnati, OH 45244 2008-03-20
1649469982 Laura Anne Nabors Psychologist 4450 Carver Woods Drive, Blue Ash Psychology Center, Cincinnati, OH 45244 2007-10-23
1295940781 Marilyn H. Robinson Social Worker 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 2007-05-10
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225471238 Megan Elizabeth Narad Psychologist 3333 Burnet Ave Ml 3015, Cincinnati, OH 45229 2013-04-09
1548447030 Anne M. Wallace Psychologist 3327 Orion Ave, Cincinnati, OH 45213-1707 2008-01-28
1649469982 Laura Anne Nabors Psychologist 4450 Carver Woods Drive, Blue Ash Psychology Center, Cincinnati, OH 45244 2007-10-23
1679780746 Carrie Ann Mason-sears Psychologist 9200 Montgomery Rd Ste 25b, Cincinnati, OH 45242-7794 2007-05-17
1508939620 Jacqueline Louise Kowalski Psychologist 712 Purcell Avenue, Cincinnati, OH 45205-2344 2006-11-16
1255434767 Terry Rockne Schwartz Psychologist 8180 Corporate Park Dr Ste 104, Cincinnati, OH 45242-3309 2006-09-07
1518585538 Julia Guerin Psychologist 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 2020-07-07
1568086957 Elizabeth Smith Psychologist 3333 Burnet Ave, Cincinnati, OH 45229-3026 2020-06-02
1811526924 Brooke Reidy Psychologist 3333 Burnet Ave, Cincinnati, OH 45229-3026 2020-04-02
1659908671 Julia Catherine Beattie Psychologist 3333 Burnet Ave, Cincinnati, OH 45229-3026 2020-03-27
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Competitor

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City CINCINNATI
Zip Code 45244

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Dataset Information

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.

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