JESSICA CONRAD (NPI# 1992103865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992103865 |
| Entity Type | Individual |
| Full Name | JESSICA CONRAD |
| Practice Address |
365 Kuck Ln Petaluma CA 94952-9606 |
| Practice Telephone | 7077956954 |
| Mailing Telephone | 7077956954 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1780913251 | Jessica Conrad | Doula | 230 Saint James Pl Apt 4a, Brooklyn, NY 11238-2367 | 2009-12-13 |
| 1821189176 | Jessica N Conrad | Dental Hygienist | 760 Us Hwy 206, Ste 2, Hillsborough, NJ 08844-1506 | 2006-09-28 |
| 1194211276 | Jessica Conrad | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2018-07-02 |
| 1962857680 | Jessica Ann Conrad | Registered Nurse | 4050 Bridge View Dr, Suite 600, North Charleston, SC 29405-7488 | 2016-05-02 |
| 1992045934 | Jessica Conrad | Counselor | 464 Chestnut St, Manchester, NH 03101-1804 | 2013-02-28 |
| 1316986417 | Jessica Conrad | Nurse Practitioner | 150 Infirmary Way, Amherst, MA 01003-9288 | 2006-06-05 |
| Street Address |
365 KUCK LN |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528294386 | Lenka Schroeder | Marriage & Family Therapist | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2009-06-08 |
| 1487169413 | Seneca Family of Agencies | Residential Treatment Facility, Emotionally Disturbed Children | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2017-12-13 |
| 1326412099 | Seneca Family of Agencies | Community/Behavioral Health | 365 Kuck Ln, Petaluma, CA 94952 | 2015-11-18 |
| 1003209107 | Kelsey Gielen | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-03-13 |
| 1194118299 | Jennifer Aiello | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-03-13 |
| 1912390014 | Shohreh Hemmat | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-03-13 |
| 1043609688 | Kyle Lew | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-01-20 |
| 1295124345 | Andrew Saffold | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2015-01-13 |
| 1184012254 | Whitney Rodgers | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-12-24 |
| 1588062434 | Ebenezer Karikari | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146658 | Wavelengths Recovery | Counselor | 6 Petaluma Blvd N Ste A7, Petaluma, CA 94952-3027 | 2020-05-19 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1831579267 | Debbie Ann Dominquez-wiggins | Counselor | 1296 Lohrman Ln, Petaluma, CA 94952-1650 | 2015-06-01 |
| 1881001915 | Kellianne Janae Martinez | Counselor | 512 Teton Ct, Petaluma, CA 94954-6641 | 2014-07-21 |
| 1245647353 | Jessie 'lori' Deans | Counselor | 330 Jewett Rd, Petaluma, CA 94952-1030 | 2014-07-21 |
| 1013324144 | Kati Smith | Counselor | 3539 Skillman Ln, Petaluma, CA 94952-1208 | 2014-07-21 |
| 1376964668 | Anita Lafollette | Counselor | 35 Maria Dr Ste 863, Petaluma, CA 94954-3548 | 2014-01-03 |
| 1558798157 | Scott Songer | Counselor | 3478 Bodega Ave, Petaluma, CA 94952-1604 | 2013-09-27 |
| 1891925335 | Dolan Samuel Beaird | Counselor | 2037 Willow Dr, Petaluma, CA 94954-3842 | 2009-07-17 |
| 1568617280 | Robert Ray Abbott-florez | Counselor | 915 Liberty Rd, Petaluma, CA 94952-8141 | 2008-11-21 |
| Find all providers in PETALUMA | ||||
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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.