JESSLYN L CHIARELLO (NPI# 1679081426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679081426 |
| Entity Type | Individual |
| Full Name | JESSLYN L CHIARELLO |
| Credential | SACIT |
| Practice Address |
1971 Washington St Grafton WI 53024-2122 |
| Practice Telephone | 2623776276 |
| Practice Fax Number | 2623776289 |
| Mailing Telephone | 2623776276 |
| Mailing Fax Number | 2623776289 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17113-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1971 WASHINGTON ST |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457788242 | Alarus Healthcare, LLC | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2102 | 2013-10-11 |
| 1063995132 | William Vansusteren | Counselor | 1971 Washington St, Grafton, WI 53024-2122 | 2018-09-13 |
| 1891231999 | Elizabeth Jane Grant | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2122 | 2017-01-12 |
| 1760936173 | Shanna Lehman | Clinic/Center | 1971 Washington St, Grafton, WI 53024-2122 | 2016-08-15 |
| 1871962423 | Mandy Howey | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2102 | 2015-09-24 |
| 1932590916 | Jessica Rose Thering | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2102 | 2015-02-11 |
| 1164834974 | Alarus Home Health LLC | Home Health | 1971 Washington St, Suite 200, Grafton, WI 53024-2102 | 2014-05-28 |
| 1881013001 | Kelsey Benna | Counselor | 1971 Washington St, Grafton, WI 53024-2102 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205320462 | Colleen Lynn Kasten | Counselor | 1971 Washington St Ste 200, Grafton, WI 53024-2125 | 2018-06-20 |
| 1104216969 | Daniel Obrien | Counselor | 35645 State Route 303, Grafton, OH 44044-9660 | 2015-02-02 |
| 1770995961 | Kimbrley D Clark | Counselor | 2057 S. Avon-belden Rd, Grafton, OH 44044 | 2014-05-22 |
| 1366726978 | Janet Resteghini Sullivan | Counselor | 39 Lower Meadow Rd, Grafton, NH 03240-3410 | 2011-09-30 |
| 1124318738 | Quinndui/mip/counseling | Counselor | 47 West 6th Street, Grafton, ND 58237-8704 | 2011-04-15 |
| 1679635973 | Michael Anthony Bryan | Counselor | 728 Hill Avenue, Grafton, ND 58237 | 2006-12-14 |
| 1548870702 | Janet Mcdaniel | Counselor | 1 Hospital Plz, Grafton, WV 26354-1283 | 2020-08-03 |
| 1891231999 | Elizabeth Jane Grant | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2122 | 2017-01-12 |
| 1871948786 | Therese Ward | Counselor | 2075 Avon Belden Rd, Grafton, OH 44044-9805 | 2016-04-28 |
| 1558762641 | Jeffrey J Jerabek | Counselor | 2500 Avon Belden Rd, Grafton, OH 44044-9802 | 2014-09-09 |
| Find all providers in GRAFTON | ||||
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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.