JESSICA MURILLO


Address: 909 E State Blvd, Fort Wayne, IN 46805-3458
Phone: 2604812700

JESSICA MURILLO (NPI# 1871139121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871139121
Entity Type Individual
Full Name JESSICA MURILLO
Practice Address 909 E State Blvd
Fort Wayne
IN 46805-3458
Practice Telephone 2604812700
Practice Fax Number 2604812838
Mailing Telephone 2604829125
Mailing Fax Number 2604812838
Enumeration Date 2019-11-21
Last Update Date 2019-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers JESSICA MURILLO

NPI Name Taxonomy Address Enumeration
1649750092 Jessica Lee Murillo Registered Nurse 1105 Tyler St, Jacksonville, TX 75766-3239 2018-08-15
1326575200 Jessica Murillo Marriage & Family Therapist 8172 Magnolia Ave, Riverside, CA 92504-3441 2017-05-22
1609267699 Jessica Murillo Physical Therapy Assistant 1905 Arizona Ave, El Paso, TX 79902-5107 2015-02-11

Office Location

Street Address 909 E STATE BLVD
City FORT WAYNE
State IN
Zip Code 46805-3458

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689664419 Richard A Horstmeyer Family Medicine 909 E State Blvd, Fort Wayne, IN 46805-3404 2005-10-24
1174132674 Rachel Lee Taykowski Social Worker 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-30
1831708510 Alexandra Leroy Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-28
1881203560 Timothy James Prentice Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-28
1922617620 Elise S. Beech Social Worker 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-07-28
1457972481 David D Hibish Case Manager/Care Coordinator 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-04-30
1790317667 Jill Elizabeth Surine Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-02-10
1851923627 Emily Redman Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-02-10
1912537325 Estrella Devia Case Manager/Care Coordinator 909 E State Blvd, Fort Wayne, IN 46805-3458 2020-01-24
1083252548 Amber Ginet O'daniels Counselor 909 E State Blvd, Fort Wayne, IN 46805-3458 2019-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548881899 Emily H Cook Counselor 2130 Pemberton Dr, Fort Wayne, IN 46805-4628 2020-04-28
1871113274 At Your Pace Counseling, LLC Counselor 6717 Sky Blue Dr, Fort Wayne, IN 46804-4648 2020-04-26
1962049809 Lynne Beardsley Counselor 4630 W Jefferson Blvd Ste 11, Fort Wayne, IN 46804-6856 2019-12-10
1578108767 Wholistic Wellness Counseling and Consulting LLC Counselor 1129 Rivermet Ave, Fort Wayne, IN 46805-4232 2019-11-11
1922654722 Nicole Conrad Counselor 908 Manck Dr, Fort Wayne, IN 46814-8995 2019-08-16
1336794148 Healing Through Art Counselor 3521 Lake Ave # B1, Fort Wayne, IN 46805-5536 2019-08-08
1013578749 A.w. Holdings, LLC Counselor 3900 Hursh Rd, Fort Wayne, IN 46845-9677 2019-06-24
1811450646 Living Waters Peace Center Counselor 3262 Mallard Cove Ln Ste B, Fort Wayne, IN 46804-2883 2019-04-09
1447718325 Victoria Lynn Prokop Counselor 4656 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-6884 2019-03-09
1811467632 Believe Counseling and Consulting Counselor 2200 Lake Ave Ste 140, Fort Wayne, IN 46805-5351 2018-12-05
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Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

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.

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