MS. JILBA MERYL WALLACE (NPI# 1982611679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982611679 |
| Entity Type | Individual |
| Full Name | MS. JILBA MERYL WALLACE |
| Credential | MA LPC |
| Practice Address |
541 Oak Street Ste 2 Frederick CO 80530 |
| Mailing Address |
Po Box 908 Frederick CO 80530-0908 |
| Practice Telephone | 3035886017 |
| Mailing Telephone | 3038332429 |
| Mailing Fax Number | 3038333780 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1242 | CO | Behavioral Health & Social Service Providers |
| Street Address |
541 OAK STREET STE 2 |
| City | FREDERICK |
| State | CO |
| Zip Code | 80530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144367210 | Kersten Chiropractic PC | Chiropractor | 630 Main St., A, Frederick, CO 80530 | 2007-01-30 |
| 1710036306 | Heeling Hands, LLC | Massage Therapist | 142 6th St., Frederick, CO 80530 | 2007-01-10 |
| 1265580914 | Mark Jerel Ringdahl | Dentist | 320 5th St., Po#69, Frederick, CO 80530 | 2007-01-08 |
| 1255400107 | Frederick Area Fire Protection District | Ambulance | 31 Walnut Drive, Frederick, CO 80530 | 2006-11-07 |
| 1295708733 | Allison L Gorab | Dentist | 5995 Iris Parkway, Frederick, CO 80530 | 2006-02-07 |
| 1619218856 | Carbon Valley Chiropractic | Chiropractor | 630 Main Street, Suite A, Frederick, CO 80530 | 2013-03-13 |
| 1558665273 | Carolyn Deolinda Bullock | Dentist | 320 5th St, Frederick, CO 80530 | 2011-01-10 |
| 1952549636 | The Lions Tooth, LLC | Clinic/Center | 630 Main Street, Unit B, Frederick, CO 80530 | 2009-02-03 |
| 1699910240 | Andrea Maria Auxier | Psychologist | 5995 Iris Parkway, Salud Family Health Centers, Frederick, CO 80530 | 2008-12-11 |
| 1487851473 | Ethan E Kerns | Dentist | 5995 Iris Parkway, Frederick, CO 80530 | 2007-07-02 |
| Find all providers in zip 80530 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1164032942 | Charles Lee Jenkins Jr. | Counselor | 4705 Verdana Loop, Frederick, MD 21703-2733 | 2020-08-05 |
| 1942827951 | Cruzan Homestead | Counselor | 5305 Jefferson Pike Ste C7, Frederick, MD 21703-6982 | 2020-06-26 |
| 1265053243 | Careapy, LLC | Counselor | 5104 Pegasus Ct Ste B, Frederick, MD 21704-8323 | 2020-05-01 |
| 1720620792 | Christine Suhler | Counselor | 3522 Worthington Blvd Unit 201, Frederick, MD 21704-7049 | 2019-10-11 |
| 1093364499 | Safrianna Alyssa Marie Degroat | Counselor | 122 E Patrick St # 108, Frederick, MD 21701-5630 | 2019-09-09 |
| 1376024935 | Meghan Elizabeth Harrington-patton | Counselor | 7602 Irongate Ln, Frederick, MD 21702-3562 | 2018-08-22 |
| 1639665995 | Ryan Defibaugh | Counselor | 8006 Broken Reed Ct, Frederick, MD 21701-3279 | 2018-07-10 |
| 1659874527 | Malaka Castle | Counselor | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2018-03-16 |
| 1487184826 | Hughescounselingservices LLC | Counselor | 201a Broadway St, Frederick, MD 21701-6561 | 2017-06-18 |
| Find all providers in FREDERICK | ||||
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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.