JEAN AMANDA NALWOGA (NPI# 1629624499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629624499 |
| Entity Type | Individual |
| Full Name | JEAN AMANDA NALWOGA |
| Practice Address |
1305 E New Indian Trail Aurora IL 60505 |
| Mailing Address |
309 New Indian Trail Ct Aurora IL 60506-2411 |
| Practice Telephone | 6309664291 |
| Mailing Telephone | 6309664000 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1305 E NEW INDIAN TRAIL |
| City | AURORA |
| State | IL |
| Zip Code | 60505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880117 | Alecia Elam | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| 1629348180 | Kimberly E Delles | Social Worker | 714 Jackson St, Aurora, IL 60505 | 2011-12-30 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399129 | Chelsey Kristin Rickert | Counselor | 2090 S Hannibal Way Apt B, Aurora, CO 80013-4024 | 2020-09-02 |
| 1891304424 | Accountability In Rehabilitative and Restorative Treatment LLC | Counselor | 2851 S Parker Rd Ste 430, Aurora, CO 80014-2802 | 2020-07-29 |
| 1114536950 | Behavioral Health Partners, Inc. | Counselor | 10730 E Bethany Dr Ste 120, Aurora, CO 80014-2694 | 2020-07-28 |
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1316560139 | Jena Anderson | Counselor | 6086 S Biscay St, Aurora, CO 80016-3843 | 2020-05-27 |
| 1437772704 | Christy Joy Malone | Counselor | 2993 S Peoria St Ste 128, Aurora, CO 80014-5704 | 2020-05-21 |
| 1114540432 | Imani Marie Lipscomb | Counselor | 14082 E Iowa Dr, Aurora, CO 80012-5501 | 2020-05-20 |
| 1770104895 | Garland Bell-quinton | Counselor | 12510 E Iliff Ave Ste 110, Aurora, CO 80014-6377 | 2020-04-29 |
| 1649809500 | Sheila Nicole Hughes | Counselor | 498 S Memphis Way Apt A, Aurora, CO 80017-3649 | 2020-04-03 |
| 1053949107 | Alannah Rice | Counselor | 173 N Biloxi Way, Aurora, CO 80018-1544 | 2020-04-01 |
| Find all providers in AURORA | ||||
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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.