JESSICA SIMPSON (NPI# 1053960021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053960021 |
| Entity Type | Individual |
| Full Name | JESSICA SIMPSON |
| Practice Address |
3700 W Kilgore Ave Muncie IN 47304-4810 |
| Mailing Address |
10418 White Oak Dr Carmel IN 46033-3976 |
| Practice Telephone | 7652895437 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235463076 | Jessica Marie Simpson | Registered Nurse | 1123 Belridge St, Oceano, CA 93445-9490 | 2009-09-27 |
| 1104449776 | Jessica Simpson | Counselor | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-05-18 |
| 1912526252 | Jessica Elaine Simpson | Student in an Organized Health Care Education/Training Program | 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2020-04-15 |
| 1134695869 | Jessica Maria Simpson | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2018-10-20 |
| 1427542265 | Jessica Elizabeth Anne Simpson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642 | 2018-06-15 |
| 1497271332 | Jessica Jo Simpson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2017-08-22 |
| 1316334063 | Jessica Simpson | Social Worker | 7425 Los Guilicos Rd, Dept H, Santa Rosa, CA 95409 | 2015-04-21 |
| 1801138771 | Jessica Leigh Simpson | Occupational Therapist | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2013-03-19 |
| 1356657191 | Jessica Simpson | Registered Nurse | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0005 | 2010-08-30 |
| 1497980304 | Jessica Nell Simpson | Nurse Practitioner | 1901 S Union Ave Ste B1010, Tacoma, WA 98405-1801 | 2009-05-20 |
| Street Address |
3700 W KILGORE AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134276884 | Youth Opportunity Center, Inc | Psychiatric Residential Treatment Facility | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2007-01-04 |
| 1992302368 | Mckenzie Slagle | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-10-07 |
| 1841807294 | Courtney Alane Eaddy-richardson | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-09-29 |
| 1386250462 | Kalyn M Gebhardt | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-09-23 |
| 1063036903 | Margaret Ann Dorfner | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-06-06 |
| 1710500574 | Brandy Latrice Pugh | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-27 |
| 1396368403 | Ebony Logan | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-05-22 |
| 1255964367 | Andrea Grace Trinidad | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-02-17 |
| 1790326312 | Cass G Winters | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-10-04 |
| 1972151546 | Amanda Nicole Wheeler | Student in an Organized Health Care Education/Training Program | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| 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 |
|---|---|---|---|---|
| 1588025951 | Amber Bloom | Counselor | 1725 S Liberty St, Muncie, IN 47302-3158 | 2016-03-14 |
| 1760840326 | Tangela Edwards | Counselor | 801 E Seymour, Muncie, IN 47302-2578 | 2016-02-10 |
| 1437528437 | Kingdom Wellness Counseling and Mentoring Center | Counselor | 3400 W Riggin Rd, Unit #5, Muncie, IN 47304-6140 | 2015-09-20 |
| 1063820801 | Charles Kirk Sr. | Counselor | 4346 S Pinewood Dr, Muncie, IN 47302-6215 | 2014-07-24 |
| 1306250998 | John Gothard | Counselor | 1220 W North St, Muncie, IN 47303-3619 | 2014-06-11 |
| 1043637382 | Dezi Price | Counselor | 4422 W Woods Edge Ln, Muncie, IN 47304-6081 | 2014-03-25 |
| 1962561654 | Behavioral Support Services, LLC. | Counselor | 405 S. Walnut St., Suite 309-11, Muncie, IN 47305 | 2006-12-08 |
| 1255941761 | Kaylee Mcdonald | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-08-10 |
| 1043820608 | Samantha Girot | Counselor | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2020-08-07 |
| 1063036903 | Margaret Ann Dorfner | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-06-06 |
| Find all providers in MUNCIE | ||||
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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.