MS. MARY ROSE WATTIER (NPI# 1952688962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952688962 |
| Entity Type | Individual |
| Full Name | MS. MARY ROSE WATTIER |
| Credential | LMHP |
| Practice Address |
501 E Jackson St Randolph NE 68771-2519 |
| Practice Telephone | 4023371276 |
| Mailing Telephone | 4023371276 |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2011-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P-785 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3156 | NE | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1638 | NE | Behavioral Health & Social Service Providers |
| N | 146N00000X | Emergency Medical Technician, Basic | 8600 | NE | Emergency Medical Service Providers |
| Street Address |
501 E JACKSON ST |
| City | RANDOLPH |
| State | NE |
| Zip Code | 68771-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336315837 | Family First Dental Associates of Wausa PC | Dentist | 105 Broadway, Randolph, NE 68771 | 2008-05-05 |
| 1528184249 | City of Randolph | Ambulance | 202 S Main St, Randolph, NE 68771-0143 | 2007-03-22 |
| 1639143621 | Careage Management LLC | Skilled Nursing Facility | 811 S Main St, Randolph, NE 68771-1706 | 2006-02-15 |
| 1164851408 | Joshua John Lamers | Occupational Therapist | 811 S Main St, Randolph, NE 68771-1706 | 2013-11-07 |
| 1417389602 | Marcia Jean Gubbels | Physical Therapy Assistant | 811 S Main St, Randolph, NE 68771-1706 | 2013-07-30 |
| 1568755577 | Randolph Healthcare, Inc. | Assisted Living Facility | 811 S Main St, Randolph, NE 68771-1706 | 2011-05-24 |
| 1104276948 | Alicia Mavis | Nurse Practitioner | 106 E Wayne St, Randolph, NE 68771-5300 | 2016-06-13 |
| 1609969476 | David Mwebe | Family Medicine | 106 E Wayne St, Randolph, NE 68771-5300 | 2006-10-02 |
| 1700979614 | Osmond General Hospital Inc | Physician Assistant | 106 E Wayne St, Randolph, NE 68771-5300 | 2006-10-02 |
| 1871607085 | Authier/miller Eyecare Center, L.L.C. | Optometrist | 123 S Main St, Randolph, NE 68771-5505 | 2006-08-18 |
| Find all providers in zip 68771 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044774 | Safe Space Therapeutic Services, Inc. | Counselor | 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | 2020-02-10 |
| 1336770155 | Crystal Casel | Counselor | 356 Main St E, Randolph, NY 14772-9696 | 2020-01-30 |
| 1386112126 | Bianca S Mathe | Counselor | 55 Birch Dr, Randolph, MA 02368-3406 | 2018-11-09 |
| 1184122566 | Lois T Awah | Counselor | 10 Mill Hill St, Randolph, MA 02368-5082 | 2018-01-31 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1114462116 | Paula Marie Weaver | Counselor | 25 Norfolk Rd, Randolph, MA 02368-4714 | 2016-12-29 |
| 1902259088 | Grace Gichuhi | Counselor | 286 Canton St, Randolph, MA 02368-1506 | 2016-07-13 |
| 1598117756 | Sharon George | Counselor | 9 Linden Park Dr, Randolph, MA 02368-4703 | 2016-07-12 |
| 1235597576 | Emline Clairvil | Counselor | 278 Canton St, Randolph, MA 02368-1506 | 2016-02-01 |
| Find all providers in RANDOLPH | ||||
Please comment or provide details below to improve the information on MS. MARY ROSE WATTIER.
| 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.