JACKLYN HOPPER WADLINGTON (NPI# 1043421613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043421613 |
| Entity Type | Individual |
| Full Name | JACKLYN HOPPER WADLINGTON |
| Practice Address |
252 S Veterans Blvd Tupelo MS 38804-5022 |
| Mailing Address |
1710 David Dr Memphis TN 38116-5714 |
| Practice Telephone | 6628711766 |
| Mailing Telephone | 9016503334 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| 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 |
| Street Address |
252 S VETERANS BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750591376 | Tina Ballard | Social Worker | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-23 |
| 1487855268 | Kathleen Boyd | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-30 |
| 1639370836 | Ashley Johnson Mills | Psychologist | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-29 |
| 1184835381 | Jared Ward | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-28 |
| 1013128396 | Stephanie Lashone Stanfield | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-25 |
| 1336350693 | Ronondo Jerome Bowen | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-25 |
| 1770794414 | Alan Tyjuan Harrison | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-24 |
| 1417168295 | Bethany Herring | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-24 |
| 1205047289 | Felisia Hodges Cooper | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-24 |
| 1710198403 | Cheryl Lynn Whittenberg | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| 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 |
|---|---|---|---|---|
| 1013107770 | Natalier Nicole White | Counselor | 252 Veteran Blvd., Tupelo, MS 38801 | 2007-07-30 |
| 1427660604 | Mary Trout | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| 1598377756 | Haley Lackey | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| 1386256568 | Anna Michael | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| 1770193583 | Brianna Far | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-06 |
| 1285244145 | Tiffany Hooks | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-05 |
| 1679183529 | James Newsom | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-05 |
| 1669029401 | Robynn Christopherson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1194372292 | Kevin Montgomery | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-08-22 |
| 1780230193 | Lena Clardy | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-08-12 |
| Find all providers in TUPELO | ||||
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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.