JESSICA NICOLE COLE (NPI# 1770080426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770080426 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE COLE |
| Credential | LCPC |
| Practice Address |
105 Venture Way Boulder MT 59632 |
| Mailing Address |
Po Box 1088 Boulder MT 59632-1088 |
| Practice Telephone | 4062254612 |
| Practice Fax Number | 4062253464 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
BBH-LCPC-LIC-298 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104115 | Jessica Marie Miglicco Cole | Student in an Organized Health Care Education/Training Program | 714 Chay Dr, Lake Charles, LA 70611-4957 | 2019-03-19 |
| 1225516461 | Jessica Cole | Nurse Practitioner | 5400 S Williamson Blvd Apt 4-106, Port Orange, FL 32128-6540 | 2018-07-31 |
| 1508391996 | Jessica Cole | Behavioral Analyst | 10719 Hamlin Way, Chester, VA 23831-1283 | 2017-04-24 |
| 1396939336 | Jessica Cole | Counselor | 1765 Lelia Dr, Jackson, MS 39216-4820 | 2007-09-04 |
| 1467678797 | Jessica Marie Cole | Acupuncturist | 815 Grand Ave Ste 105, San Marcos, CA 92078-1209 | 2007-04-17 |
| 1396362554 | Jessica Cole | Nurse Practitioner | 358 W Main St, Avon, CT 06001-3643 | 2020-07-02 |
| 1639792419 | Jessica Lauren Cole | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-05-27 |
| 1942841846 | Jessica Manton Cole | Social Worker | 831 Spruce Dr, Papillion, NE 68046-4723 | 2019-10-01 |
| 1336799923 | Jessica Marie Cole | Social Worker | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2019-09-16 |
| 1487215406 | Jessica Cole | Nurse Practitioner | 1560 Henthorne Dr, Maumee, OH 43537-1371 | 2019-06-21 |
| Street Address |
105 VENTURE WAY |
| City | BOULDER |
| State | MT |
| Zip Code | 59632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487029336 | Kristin Nicole Fearon | Social Worker | 105 Venture Way, Boulder, MT 59632 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1790171494 | Kayla M. Beadle-reinhardt | Social Worker | 105 Venture Ave, Boulder, MT 59632 | 2015-04-09 |
| 1750404661 | Alliance Outreach Services | Clinic/Center | 512 Capital Heights Dr, Boulder, MT 59632 | 2007-04-06 |
| 1760504310 | Jeni E Leary | Social Worker | 40 Hanging Wall Road, Boulder, MT 59632 | 2007-04-04 |
| 1679097638 | Amy Sue Braaksma | Nurse Practitioner | 214 S. Main St., Boulder, MT 59632 | 2017-08-01 |
| 1316353105 | Veronica J Champer | Nurse Practitioner | 214 South Main Street, Boulder, MT 59632 | 2014-07-01 |
| 1891830931 | Vermon Craig Barney | Dentist | 211 North Main, Boulder, MT 59632 | 2007-02-20 |
| 1588722383 | Jefferson County Health Department | Public Health or Welfare | 214 South Main Street, Boulder, MT 59632 | 2006-12-05 |
| 1043396054 | Elkhorn Mountain Health Services Inc | Family Medicine | 214 South Main, Boulder, MT 59632 | 2006-10-31 |
| 1255413381 | St. James Healthcare | Family Medicine | 214 S Main St, Boulder, MT 59632 | 2006-10-19 |
| Find all providers in zip 59632 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558107 | Alec Farbman | Counselor | 1941 Pearl St Unit 202, Boulder, CO 80302-4467 | 2020-11-08 |
| 1942801378 | Chloe Sari Koeffler | Counselor | 2919 Valmont Rd Ste 209, Boulder, CO 80301-1350 | 2020-11-03 |
| 1114527660 | Anneva Noelle Knapp Garner | Counselor | 3363 Hickok Pl, Boulder, CO 80301-1984 | 2020-10-26 |
| 1215535828 | Emily Forse | Counselor | 1501 Yarmouth Ave Unit C-18, Boulder, CO 80304-0564 | 2020-10-15 |
| 1174121875 | Chris Cannon | Counselor | 3450 Hayden Pl Apt 3, Boulder, CO 80301-1929 | 2020-10-14 |
| 1992303911 | Riese Rose | Counselor | 4478 Hamilton Ct, Boulder, CO 80305-5554 | 2020-10-12 |
| 1477151728 | Karina Maria Tibble | Counselor | 5378 Sterling Dr # 1, Boulder, CO 80301-2351 | 2020-10-09 |
| 1902403538 | Brianna Kaylin Jones | Counselor | 2024 Goss St Apt 5, Boulder, CO 80302-6577 | 2020-10-06 |
| 1063029510 | Ryan O'millian | Counselor | 2919 Valmont Rd Ste 206, Boulder, CO 80301-1350 | 2020-09-29 |
| 1073123691 | Corinne Schuele | Counselor | 2299 Pearl St Ste 400a, Boulder, CO 80302-4673 | 2020-08-07 |
| Find all providers in BOULDER | ||||
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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.