JACQUELYN BAINBRIDGE (NPI# 1821402843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821402843 |
| Entity Type | Organization |
| Organization Name | JACQUELYN BAINBRIDGE |
| Practice Address |
30 Portage Pl Jeffersonville IN 47130-5782 |
| Practice Telephone | 5024458376 |
| Mailing Telephone | 5024458376 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | JACQUELYN BAINBRIDGE (LPCC) |
| Authorized Official Telephone | 5024458376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPCPCC00223151 | KY | Agencies |
| Street Address |
30 PORTAGE PL |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-5782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662980 | Elizabeth Tully, Lcsw, LLC | Community/Behavioral Health | 590 Missouri Ave Ste 206c, Jeffersonville, IN 47130-3084 | 2019-01-10 |
| 1861850232 | Family Ark | Community/Behavioral Health | 101 Noah's Ln, Jeffersonville, IN 47130 | 2016-02-01 |
| 1437448297 | Res-care, Inc. | Community/Behavioral Health | 6200 E Highway 62, Suite 675, Jeffersonville, IN 47130-8769 | 2011-04-01 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1841335650 | Lifespring, Inc | Community/Behavioral Health | 460 Spring Street, Jeffersonville, IN 47130 | 2007-02-20 |
| 1629533229 | Family and Childrens Place | Community/Behavioral Health | 100 W Court Ave, Jeffersonville, IN 47130-3502 | 2019-02-07 |
| 1063853620 | Family & Children's First, Inc | Community/Behavioral Health | 100 W Court Ave, Suite 102, Jeffersonville, IN 47130-3502 | 2013-07-11 |
| 1558502294 | River Edge Behavioral Health Center | Community/Behavioral Health | 109 E Main St, Jeffersonville, GA 31044-9426 | 2009-03-10 |
| 1194864843 | Wellstone Regional Hospital Acquisition LLC | Community/Behavioral Health | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5943 | 2007-02-06 |
| 1033279021 | River Edge Behavorial Health Center | Community/Behavioral Health | 109 East Main St., Jeffersonville, GA 31044 | 2006-12-11 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on JACQUELYN BAINBRIDGE.
| 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.