JESSICA MCDONOUGH (NPI# 1003383431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003383431 |
| Entity Type | Individual |
| Full Name | JESSICA MCDONOUGH |
| Credential | MS, NCC, LPC |
| Practice Address |
340 Montage Mountain Rd Moosic PA 18507-1707 |
| Practice Telephone | 5703463686 |
| Practice Fax Number | 5705586838 |
| Mailing Telephone | 5703463686 |
| Mailing Fax Number | 5705586838 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC010785 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 Montage Mountain Rd, Moosic, PA 185071707 | 5703463686 | 5705586838 |
| 400 3rd Ave Ste 218, Kingston, PA 187045816 | 5702917755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520917 | Jessica Chiasson Mcdonough | Counselor | 3243 E Overlook Rd, Cleveland Heights, OH 44118-2113 | 2020-05-26 |
| 1790986586 | Jessica Ann Mcdonough | Occupational Therapist | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2007-05-30 |
| 1962035030 | Jessica Danielle Mcdonough | Behavioral Analyst | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-02-18 |
| Street Address |
340 MONTAGE MOUNTAIN RD |
| City | MOOSIC |
| State | PA |
| Zip Code | 18507-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718237 | Matthew Adam Berger | Psychiatry & Neurology | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2005-11-23 |
| 1396367892 | Monica Stroz | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2020-05-07 |
| 1275178626 | Megan Marie Birk | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-11-08 |
| 1942844329 | Samantha Cummins | Physician Assistant | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-10-29 |
| 1891336244 | Colleen Flynn Ries | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-10-07 |
| 1235798240 | Amanda Leigh Craven | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-06-12 |
| 1750949384 | Kelly A. Roughgarden | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-05-29 |
| 1760941462 | Wendy Hall | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-03-13 |
| 1063986313 | Marie T Zedalis | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-01-18 |
| 1225509003 | Kyle L Strobel | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184270969 | Frances R Acker- Pisko | Massage Therapist | 540 Gleason Drive, Moosic, PA 18507 | 2019-08-16 |
| 1457854150 | Leanna Tabatabaie | Dietitian, Registered | 532 Main St Ste 3, Moosic, PA 18507 | 2018-03-09 |
| 1689092769 | James Vito Squadrito Jr. | Physical Therapist | 3356 Birney Plaza, Pro Rehabilitation Services, Moosic, PA 18507 | 2014-04-04 |
| 1871881573 | Ethical Factor Rx LLC | Durable Medical Equipment & Medical Supplies | 4213 Birney Ave, Suite 4, Moosic, PA 18507 | 2011-07-14 |
| 1508955725 | Edward Christopher Grambo | Dentist | 3812 Birney Ave, Moosic, PA 18507 | 2006-10-12 |
| 1316044431 | Moosic Dental Group Inc | Dentist | 502 Church Street, Moosic, PA 18507 | 2006-09-20 |
| 1528047347 | Ralph Demario | Internal Medicine | 340 Momtage Mt Road, Moosic, PA 18507 | 2006-01-11 |
| 1023658895 | Ichs Corporatioin | Clinic/Center | 73 Montage Mountain Road, Moosic, PA 18507 | 2020-01-09 |
| 1285012526 | Laura Herbener | Nurse Practitioner | 53 Glenmaura National Blvd, Moosic, PA 18507 | 2015-05-06 |
| 1104266824 | Travis Edward Perry | Dentist | 502 Church Street, Moosic, PA 18507 | 2013-06-26 |
| Find all providers in zip 18507 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178626 | Megan Marie Birk | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-11-08 |
| 1750949384 | Kelly A. Roughgarden | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-05-29 |
| 1225509003 | Kyle L Strobel | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2018-12-05 |
| 1427552785 | Angelica Hughes | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2018-03-21 |
| 1861875338 | Joann Crisafulli | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2015-07-02 |
| 1245613926 | Jennifer Julstedt | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2015-06-30 |
| 1184048159 | Karlene Albrecht | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2014-02-12 |
| 1669626776 | Robert J Tryzenski | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2008-11-17 |
| 1609056332 | Brenda Antonacci | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2007-11-09 |
| 1932267200 | Donna J O'donnell | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2006-12-05 |
| Find all providers in MOOSIC | ||||
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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.