JILLIAN ANGELINE KELSEY-BERRIDGE (NPI# 1033402581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033402581 |
| Entity Type | Individual |
| Full Name | JILLIAN ANGELINE KELSEY-BERRIDGE |
| Credential | BS, PLADC |
| Practice Address |
Hwy 77/75 Winnebago NE 68071 |
| Mailing Address |
Po Box A Hwy 77/75 Winnebago NE 68071 |
| Practice Telephone | 4028782480 |
| Practice Fax Number | 4028782204 |
| Mailing Telephone | 4028782480 |
| Mailing Fax Number | 4028782204 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P-931 | NE | Behavioral Health & Social Service Providers |
| Street Address |
HWY 77/75 |
| City | WINNEBAGO |
| State | NE |
| Zip Code | 68071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659392454 | Winnebago Indian Health Service | Psychiatric Residential Treatment Facility | Hwy 77/75, Winnebago, NE 68071 | 2006-07-21 |
| 1285960195 | Karen Ann Oaks | Counselor | Hwy 77/75, Ihs Hospital, Winnebago, NE 68071-0446 | 2009-10-28 |
| 1316129786 | Erin Nichole Rolf | Dentist | Hwy 77/75, Winnebago, NE 68071-0706 | 2007-11-28 |
| 1891882668 | Alida Asencio | Pediatrics | Hwy 77/75, Winnebago, NE 68067-0767 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242950 | Adam Lee Goetz | Pharmacist | 225 S Bluff Str, Winnebago, NE 68071 | 2020-07-08 |
| 1659932424 | Sandra Jo Kruse-anderson | Registered Nurse | 225 S. Bluff St., Winnebago, NE 68071 | 2019-06-24 |
| 1093272668 | Ricardo Osorio | Nurse Practitioner | 225 Us-75, Winnebago, NE 68071 | 2019-03-01 |
| 1891268736 | Lexa Wright | Pharmacist | 225 S Bluff St, Winnebago, NE 68071 | 2019-01-03 |
| 1245760479 | Angela Rebecca Mcelmuray Dundee | Counselor | Augustine Dr #2, Winnebago, NE 68071 | 2017-06-20 |
| 1558717074 | Winnebago Tribe of Nebraska | Community/Behavioral Health | Augustine Dr. #2, Winnebago, NE 68071 | 2016-05-13 |
| 1801260526 | Winnebago Indian Health Service | Clinic/Center | Hwy 77 75, Winnebago, NE 68071 | 2015-11-18 |
| 1528440385 | All Directions Behavioral Health, Inc. | Counselor | 202 Osborne Street, Winnebago, NE 68071 | 2015-06-29 |
| 1518249846 | Alisha Shelton | Counselor | 225 South Bluff Street, Winnebago, NE 68071 | 2011-09-13 |
| 1417251216 | Gretchen Wheelock | Nurse Practitioner | Us Highway 77-75, Winnebago, NE 68071 | 2011-01-07 |
| Find all providers in zip 68071 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604830 | Shirlene Fawn Seymour | Counselor | 113 Bluff Street, Winnebago, NE 68071-0423 | 2020-03-19 |
| 1053745091 | Todd Daniel Baier | Counselor | 100 Bluff Ave, Winnebago, NE 68071-9787 | 2013-08-27 |
| 1396874319 | Lori A Stanton | Counselor | 12840 Riverton Pl, Winnebago, IL 61088-8000 | 2007-03-05 |
| 1326594136 | Gwendolyn Porter | Counselor | Augustine Dr. #2, Winnebago, NE 68071 | 2016-08-31 |
| 1295027068 | Bobbi Jo Van Lent | Counselor | Po Box A, Winnebago, NE 68071-0841 | 2011-05-11 |
| 1407148448 | Geniva Scott Doenhoefer | Counselor | Po Box A, Winnebago, NE 68071-0841 | 2011-05-10 |
| 1730471228 | William Francis Mallory | Counselor | Highway 75/77, Winnebago Ihs Hospital, Winnebago, NE 68071-0767 | 2011-05-03 |
| 1952455800 | Jeremiah Lee Olson | Counselor | 1300 South Drive, Winnebago, WI 54985-0009 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352579 | Kendra Bishop | Counselor | 2109 S 24th St, Lincoln, NE 68502-4002 | 2020-10-02 |
| 1154930386 | Harry D Washington IIi | Counselor | 1299 Farnam, Omaha, NE 68105-6811 | 2020-07-23 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1003432386 | Judi Scott | Counselor | 9733 Grant St, Omaha, NE 68134-5619 | 2020-06-22 |
| 1992320980 | Eric Johnson LLC | Counselor | 301 S 70th St Ste 313, Lincoln, NE 68510-2469 | 2020-06-15 |
| 1508481086 | William Sean Mcneil | Counselor | 3128 N 168th Ave, Omaha, NE 68116-2614 | 2020-06-10 |
| 1043834005 | All Communities Outreach Services | Counselor | 112 E Mission Avenue, Bellevue, NE 68005-5023 | 2020-06-04 |
| 1225659832 | Am Counseling and Consulting | Counselor | 207 Galvin Rd N, Bellevue, NE 68005-4898 | 2020-05-05 |
| 1063048114 | Tiffany Gormley | Counselor | 18047 Oak St, Omaha, NE 68130-6093 | 2020-03-20 |
| 1730712977 | Justin Michael Antons | Counselor | 127 S 37th St Ste B, Lincoln, NE 68510-1502 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
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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.