JENNIFER THEIS ANDERSON (NPI# 1710275771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710275771 |
| Entity Type | Individual |
| Full Name | JENNIFER THEIS ANDERSON |
| Credential | M.A., L.P.A. |
| Practice Address |
2460 Delaney Ave Wilmington NC 28403-6062 |
| Mailing Address |
7437 Bright Leaf Rd Wilmington NC 28411-7122 |
| Practice Telephone | 9107926130 |
| Mailing Telephone | 9105245445 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2102 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046684 | Jennifer Anderson | Physical Therapy Assistant | 5900 N Brook Pl, Garden City, ID 83714-1724 | 2020-09-02 |
| 1912464686 | Jennifer Kennedy Anderson | Speech-Language Pathologist | 4 Bitternut Ct, Catonsville, MD 21228-5866 | 2019-02-28 |
| 1942782990 | Jennifer Anderson | Peer Specialist | 2615 O St Ste 4, Lincoln, NE 68510-1385 | 2018-09-05 |
| 1558849133 | Jennifer C Anderson | Registered Nurse | 11704 E Laketowne Dr, Albertville, MN 55301-4540 | 2018-08-05 |
| 1730665084 | Jennifer Marie Anderson | Nurse Practitioner | 4 Courthouse Ln Unit 9, Chelmsford, MA 01824-1731 | 2018-07-18 |
| 1952891137 | Jennifer Anderson | Behavioral Analyst | 51 W Schaumburg Rd, Schaumburg, IL 60194-3506 | 2018-05-14 |
| 1316448780 | Jennifer Renee Anderson | Counselor | 17 Mckean Ave, Charleroi, PA 15022-1436 | 2018-02-21 |
| 1063927911 | Jennifer Anderson | Counselor | 524 25th Ave N, Saint Cloud, MN 56303-3255 | 2017-12-13 |
| 1154850733 | Jennifer Lynn Anderson | Behavior Technician | 3290 S Lakeshore Loop, Palmer, AK 99645-9002 | 2017-06-07 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| Street Address |
2460 DELANEY AVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780869297 | Coastal Support Specialists, Inc. | Psychologist | 2460 Delaney Ave, Wilmington, NC 28403-6062 | 2008-01-03 |
| 1730708702 | Hartman Psychology Pllc | Psychologist | 2460 Delaney Ave, Wilmington, NC 28403-6062 | 2020-04-10 |
| 1265997647 | Ashley Cottle | Psychologist | 2460 Delaney Ave, Wilmington, NC 28403-6062 | 2019-02-10 |
| 1588912513 | Karen S. Kirk, Phd, Pllc | Psychologist | 2460 Delaney Ave, Wilmington, NC 28403-6062 | 2012-08-23 |
| 1720235542 | Karen Sue Kirk | Psychologist | 2460 Delaney Ave, Wilmington, NC 28403-6062 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656172 | Jennifer Hickman Grimm | Counselor | 1014 Steeplechase Rd, Wilmington, NC 28412-7206 | 2020-10-14 |
| 1821696717 | Tessa Jane Bolz | Counselor | 2426 Monroe St, Wilmington, NC 28401-7026 | 2020-10-13 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1134746399 | Heather Nicole Freeman | Counselor | 771 Bonaire Rd, Wilmington, NC 28412-3282 | 2020-07-02 |
| 1497393441 | Julie Elaine Campana | Counselor | 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388 | 2019-12-19 |
| 1205473360 | Keonna M Freeman | Counselor | 5700 Kirkwood Hwy Ste 204, Wilmington, DE 19808-4884 | 2019-12-06 |
| 1699311381 | Rebecca L Dries | Counselor | 1201 W 7th St Apt 3, Wilmington, DE 19805-3258 | 2019-11-18 |
| 1811532286 | Carolyn Elizabeth Lehman | Counselor | 815 N Harrison St, Wilmington, DE 19806-4628 | 2019-11-09 |
| 1639713183 | Richard Luke Loveless Jr. | Counselor | 3719 Washington Ave, Wilmington, DE 19808-6034 | 2019-10-28 |
| 1396388153 | Jennifer Cook | Counselor | 5710 Oleander Dr Ste 112, Wilmington, NC 28403-4722 | 2019-10-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on JENNIFER THEIS ANDERSON.
| 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.