BENJAMIN J JAGGERS (NPI# 1841643608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841643608 |
| Entity Type | Individual |
| Full Name | BENJAMIN J JAGGERS |
| Practice Address |
950 S 1st St Louisville KY 40203-2202 |
| Practice Telephone | 5025859444 |
| Practice Fax Number | 5025859466 |
| Mailing Telephone | 5025859444 |
| Mailing Fax Number | 5025859466 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982957221 | Benjamin Jacob Jaggers | Nurse Practitioner | 500 E Market St, Iowa City, IA 52245-2633 | 2012-10-24 |
| Street Address |
950 S 1ST ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40203-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093823817 | Bridgehaven, Inc. | Counselor | 950 S 1st St, Louisville, KY 40203-2288 | 2006-08-29 |
| 1780223867 | Beth M Willis | Counselor | 950 S 1st St, Louisville, KY 40203-2202 | 2020-01-06 |
| 1194298232 | Carrie Sommerville | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2019-01-10 |
| 1518452358 | Joseph William Etterer | Art Therapist | 950 S 1st St, Louisville, KY 40203-2202 | 2018-06-25 |
| 1992235576 | Edith H Johnson | Counselor | 950 S 1st St, Louisville, KY 40203-2202 | 2017-06-15 |
| 1285175380 | Susan Pope | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2017-03-09 |
| 1386097145 | Michael Brandon Banks | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-07-18 |
| 1801255351 | Anthony Ross | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-02-12 |
| 1548626658 | Jennifer Hall | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-01-05 |
| 1316323264 | Tara Bassett | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211738 | Integrated Health Systems LLC | Psychiatry & Neurology | 645 S Roy Wilkins Ave Ste 300, Louisville, KY 40203 | 2018-07-18 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1699296293 | Jennifer Christine Angermeier | Nurse Practitioner | 1130 W Chestnut St, Louisville, KY 40203 | 2017-07-05 |
| 1083162812 | Deloris Jean Johnson | Social Worker | 1022 South 6th Street, Louisville, KY 40203 | 2016-09-21 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1770906885 | Jason Scott Underhill | Counselor | 214 E Breckinridge St, Louisville, KY 40203 | 2014-01-24 |
| 1316372592 | Tonya Alicia Clay | Marriage & Family Therapist | 1000 South 5th Street, Family & Children's Place, Louisville, KY 40203 | 2013-09-06 |
| 1780929216 | Harambee Health Center, Inc | Clinic/Center | 800 South Preston St., Louisville, KY 40203 | 2012-12-10 |
| 1083977276 | Synergy Rehabilitation, Inc. | Physical Therapist | 832 S. 6th Street, Suite C, Louisville, KY 40203 | 2012-06-21 |
| 1043572803 | Sonya Helen Mitchell | Counselor | 2225 W. Broadway, Louisville, KY 40203 | 2012-06-07 |
| Find all providers in zip 40203 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194298232 | Carrie Sommerville | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2019-01-10 |
| 1285175380 | Susan Pope | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2017-03-09 |
| 1386097145 | Michael Brandon Banks | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-07-18 |
| 1801255351 | Anthony Ross | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-02-12 |
| 1548626658 | Jennifer Hall | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2016-01-05 |
| 1316323264 | Tara Bassett | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2015-08-03 |
| 1447636584 | Michael Kapfhammer | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2015-07-30 |
| 1053793869 | Andrea Jones | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2015-06-29 |
| 1215319975 | Samantha Pillersdorf | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2015-06-18 |
| 1285056804 | Phillip Winchell | Peer Specialist | 950 S 1st St, Louisville, KY 40203-2202 | 2014-01-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40203 |
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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.