JENNA ROSE, INC. (NPI# 1003036534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003036534 |
| Entity Type | Organization |
| Organization Name | JENNA ROSE, INC. |
| Practice Address |
804 11th Ave Greeley CO 80631-3246 |
| Mailing Address |
7205 Poudre River Rd Unit 3 Greeley CO 80634-9375 |
| Practice Telephone | 9705185757 |
| Mailing Telephone | 9705185757 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTINA H. HIRATZKA (DIRECTOR) |
| Authorized Official Telephone | 9705185757 |
| Authorized Official Credential | M.A., N.C.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NLC-6686 | CO | Behavioral Health & Social Service Providers |
| Street Address |
804 11TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118490 | Gregory S Creed | Counselor | 804 11th Ave, Greeley, CO 80631-3246 | 2005-10-19 |
| 1194911875 | Noel H Peercy | Counselor | 804 11th Ave, Greeley, CO 80631-3246 | 2007-09-17 |
| 1194858050 | David Loius Braham | Marriage & Family Therapist | 804 11th Ave, Transitions Psychology Group, Greeley, CO 80631-3246 | 2007-03-13 |
| 1255321956 | Jami Moe-hartman | Counselor | 804 11th Ave, Greeley, CO 80631-3246 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307211 | Andrea Yaverski | Counselor | 3400 W 16th St Bldg 2, Greeley, CO 80634-6862 | 2020-08-18 |
| 1588275341 | Kayla E O'brien | Counselor | 710 11th Ave # I46, Greeley, CO 80631-6405 | 2020-08-13 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1447899661 | Patrick Call | Counselor | 6910 W 31st St, Greeley, CO 80634-8975 | 2020-01-06 |
| 1851950638 | Perklen Inc. | Counselor | 2619 West 11th Street Road, Suite #23, Greeley, CO 80634-5459 | 2019-06-06 |
| 1669934824 | Julie Bruhn | Counselor | 4672 W 20th Street Rd Unit 1512, Greeley, CO 80634-8403 | 2019-04-04 |
| 1114499811 | Alycia Ann Stack Erickson | Counselor | 1808 Dilmont Ave, Greeley, CO 80631-6207 | 2018-12-19 |
| 1275015729 | Kathryn Watt | Counselor | 1770 25th Ave Ste 202, Greeley, CO 80634-4949 | 2018-08-31 |
| 1710465588 | Jamie J Henry | Counselor | 2010 8th Ave Apt 4, Greeley, CO 80631-7000 | 2018-08-02 |
| 1376046383 | Kathleen J Sutton | Counselor | 5145 W 11th St Apt 814, Greeley, CO 80634-2167 | 2018-03-15 |
| Find all providers in GREELEY | ||||
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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.