JENNA RAE VIDULICH (NPI# 1720587835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720587835 |
| Entity Type | Individual |
| Full Name | JENNA RAE VIDULICH |
| Other Name | JENNA RAE PAGE |
| Credential | LPC, NCC |
| Practice Address |
4105 Monroeville Blvd Monroeville PA 15146-2607 |
| Mailing Address |
407 Poplar Ct Moon Twp PA 15108-9028 |
| Practice Telephone | 4123800100 |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC009999 | PA | Behavioral Health & Social Service Providers |
| Street Address |
4105 MONROEVILLE BLVD |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568494912 | Pamela Hucko Koerner | Pharmacist | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2006-07-07 |
| 1306488242 | Kristen Radage | Social Worker | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2019-10-11 |
| 1285296061 | Amanda Jeromin | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2019-07-02 |
| 1487158143 | Jade Wellness Center | Clinic/Center | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2018-03-19 |
| 1841799368 | Sara Michelle Brestensky | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2018-02-10 |
| 1184084899 | Keri Spaw | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146 | 2016-02-24 |
| 1700266616 | Gabrielle Geier | Counselor | 4105 Monroeville Blvd, Jade Wellness Center, Monroeville, PA 15146-2607 | 2015-06-05 |
| 1659715811 | Richard E Pirozzi | Counselor | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2013-04-18 |
| 1619291093 | Jade Wellness Center | Clinic/Center | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2010-03-15 |
| 1184817884 | Shannon Leslie Allen | Psychiatry & Neurology | 4105 Monroeville Blvd, Monroeville, PA 15146-2607 | 2007-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910420 | Michelle Croyle | Counselor | 4400 Old William Penn Hwy Ste 213, Monroeville, PA 15146-1480 | 2019-12-27 |
| 1639710288 | Nickie Monique Hudson | Counselor | 241 South Alabama Ave, Monroeville, AL 36460 | 2019-10-04 |
| 1801369095 | Brian White | Counselor | 334 Agriculture Dr # 845, Monroeville, AL 36460-8691 | 2019-01-10 |
| 1891270161 | Stacie Michelle Salvo | Counselor | 1848 Drewry Rd, Monroeville, AL 36460-5856 | 2018-10-02 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1053758896 | Anthony Carmine Conicella | Counselor | 140 Cedar Ridge Dr Apt 11, Monroeville, PA 15146-3108 | 2013-06-03 |
| 1033470307 | Olivia Giger | Counselor | 261 Rosecrest Dr, Monroeville, PA 15146-4041 | 2012-06-04 |
| 1558634618 | Jennifer Chambers | Counselor | 1290 S Mount Pleasant Ave, Apt D3, Monroeville, AL 36460-2300 | 2012-02-20 |
| 1750680476 | Lonnie Richardson Counseling Services,llc | Counselor | 307 E Claiborne St, Monroeville, AL 36460-1919 | 2011-03-21 |
| 1902102973 | Lonnie L Richardson Sr. | Counselor | 286 Limestone Rd, Monroeville, AL 36460-4168 | 2011-02-08 |
| Find all providers in MONROEVILLE | ||||
| City | MONROEVILLE |
| Zip Code | 15146 |
Please comment or provide details below to improve the information on JENNA RAE VIDULICH.
| 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.