MS. JESSICA JUCH (NPI# 1013362441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013362441 |
| Entity Type | Individual |
| Full Name | MS. JESSICA JUCH |
| Credential | LCSW, LCDC |
| Practice Address |
3000 Joe Dimaggio Blvd Ste 66 Round Rock TX 78665 |
| Mailing Address |
3000 Joe Dimaggio Blvd Ste 66 Round Rock TX 78665-3997 |
| Practice Telephone | 5122467225 |
| Mailing Telephone | 5122467225 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-06-18 |
| 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) |
11828 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
56499 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3000 JOE DIMAGGIO BLVD STE 66 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952756744 | Rebecca Athanason | Social Worker | 3000 Joe Dimaggio Blvd Ste 66, Round Rock, TX 78665-3997 | 2016-04-28 |
| 1750884771 | Alina Khomenko | Counselor | 3000 Joe Dimaggio Blvd Ste 66, Round Rock, TX 78665-3997 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492204 | Viesca Therapeutic Services, Pllc | Social Worker | 600 Round Rock West Dr Ste 606, Round Rock, TX 78681-5005 | 2020-09-20 |
| 1912519141 | Teresa Franz | Social Worker | 1911 Autumn Run Ln, Round Rock, TX 78665-5032 | 2020-08-19 |
| 1922625540 | Laura Beth Poulter | Social Worker | 2845 Deerfern Ln, Round Rock, TX 78665-2574 | 2020-06-30 |
| 1811514821 | Stephanie Michelle Stidham | Social Worker | 3308 Pablo Cir, Round Rock, TX 78665-2160 | 2020-06-25 |
| 1740806728 | Krista Jo Renee Dusek | Social Worker | 1616 Sylvia Ln, Round Rock, TX 78681-1987 | 2020-06-24 |
| 1043833056 | Atx Mental Health, Pllc | Social Worker | 306 E Main St Ste 103, Round Rock, TX 78664-5220 | 2020-05-26 |
| 1669003554 | Skull Honey LLC | Social Worker | 1101 Satellite Vw Unit 504, Round Rock, TX 78665-1591 | 2020-01-29 |
| 1497304232 | Eboni S Lunsford Calbow | Social Worker | 2710 Mirasol Loop, Round Rock, TX 78681-2459 | 2019-09-04 |
| 1891263109 | Latina May Griffin | Social Worker | 106 S Harris St Ste 234, Round Rock, TX 78664-6081 | 2018-11-05 |
| 1104394543 | Christina Stokes | Social Worker | 107 Fannin Ave # 200, Round Rock, TX 78664-5218 | 2018-11-04 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on MS. JESSICA JUCH.
| 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.