MISS JODY S JESSUP (NPI# 1811170632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811170632 |
| Entity Type | Individual |
| Full Name | MISS JODY S JESSUP |
| Credential | MS, LPC, RD |
| Practice Address |
620 N 12th Ave Sturgeon Bay WI 54235-1249 |
| Practice Telephone | 9207439554 |
| Mailing Telephone | 9207439554 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43727200 | 05 |
| Street Address |
620 N 12TH AVE |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093547 | Counseling Associates of Door County, LLC | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-20 |
| 1306360201 | Simon Rabas | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2017-08-01 |
| 1760806202 | Counseling Associates of Door County, LLC | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2014-02-04 |
| 1598067225 | Janet M Tilkens-vanderven | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2010-12-01 |
| 1588991293 | Mona E Pagel | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2009-11-17 |
| 1104853456 | Timothy J. Hickey | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-06-26 |
| 1538120993 | Allen L Lukach | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-03-28 |
| 1093781536 | William G Nick | Social Worker | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-24 |
| 1952377640 | Kathleen D Pammer | Counselor | 620 N 12th Ave, Sturgeon Bay, WI 54235-1249 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790924694 | Sara Downing Edwards | Counselor | 949 Egg Harbor Rd, Sturgeon Bay, WI 54235-1229 | 2009-02-17 |
| 1346491727 | Brooke M Dey | Counselor | 219 Green Bay Rd, Sturgeon Bay, WI 54235-2835 | 2008-10-03 |
| 1265077481 | Cassaundra Bratz | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2019-11-12 |
| 1417445867 | Robin Lambrecht | Counselor | 101 N 4th Ave, Sturgeon Bay, WI 54235-2437 | 2018-05-01 |
| 1245759190 | Lydia Jean Haker | Counselor | 101 N 4th Ave, Sturgeon Bay, WI 54235-2437 | 2017-09-12 |
| 1164970935 | Cassandra Schraft | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2016-09-21 |
| 1649674110 | Elizabeth Ziolkowski | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2014-10-13 |
| 1770692832 | Gary A Grahl | Counselor | 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235-2742 | 2006-08-30 |
| 1699796797 | Jay Stewart Livingston | Counselor | 421 Nebraska St, Door County Department of Community Programs, Sturgeon Bay, WI 54235-2225 | 2006-07-22 |
| 1649237322 | David Joseph Hirn | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2249 | 2006-04-27 |
| Find all providers in STURGEON BAY | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
Please comment or provide details below to improve the information on MISS JODY S JESSUP.
| 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.