JILL R FETZER (NPI# 1083187108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083187108 |
| Entity Type | Individual |
| Full Name | JILL R FETZER |
| Practice Address |
524 W Broad St Columbus OH 43215-2775 |
| Practice Telephone | 6146621020 |
| Practice Fax Number | 6146621023 |
| Mailing Telephone | 6146621020 |
| Mailing Fax Number | 6146621023 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134342702 | Jill Fetzer | Case Manager/Care Coordinator | 712 South Ave, Pittsburgh, PA 15221-2940 | 2007-04-11 |
| Street Address |
524 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-2775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034441 | Lauren Ashley Darby | Counselor | 524 W Broad St, Columbus, OH 43215-2775 | 2019-07-12 |
| 1407320542 | Richard Stewart | Counselor | 524 W Broad St, Columbus, OH 43215-2775 | 2019-01-11 |
| 1639663636 | Guy Daly | Social Worker | 524 W Broad St, Columbus, OH 43215-2775 | 2018-06-22 |
| 1083108252 | Latanya Vena Taylor | Counselor | 524 W Broad St, Columbus, OH 43215-2775 | 2018-06-20 |
| 1285122929 | Kenya Rickelle Carter | Counselor | 524 W Broad St, Columbus, OH 43215-2775 | 2018-04-27 |
| 1477053296 | Michael John Irwin | Social Worker | 524 W Broad St, Columbus, OH 43215-2775 | 2018-02-19 |
| 1114432333 | Melissa Shigeyo Shannon | Internal Medicine | 524 W Broad St, Columbus, OH 43215-2775 | 2017-12-11 |
| 1922406008 | Southeast, Inc. | Clinic/Center | 524 W Broad St, Columbus, OH 43215-2775 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273534 | Stephanie Homan | Counselor | 317 E Royal Forest Blvd, Columbus, OH 43214-2129 | 2020-10-21 |
| 1497373575 | Mettle Services LLC | Counselor | 5120 Godown Rd, Columbus, OH 43220-7202 | 2020-07-06 |
| 1861017014 | Christine Sutton | Counselor | 2502 Middle View Dr, Columbus, IN 47201-1459 | 2020-06-13 |
| 1609499896 | Adrian D Wilson | Counselor | 3575 Macon Rd Ste 2, Columbus, GA 31907-8247 | 2020-05-21 |
| 1750902250 | Redefined LLC | Counselor | 2242 S Hamilton Rd Ste 208, Columbus, OH 43232-4300 | 2020-05-06 |
| 1164057113 | Starks Counseling and Consultation Services LLC | Counselor | 175 S. Third Street, Suite 200, Columbus, OH 43215-5194 | 2020-03-10 |
| 1457984171 | Kathleen Bell | Counselor | 4425 Bentwood Dr, Columbus, GA 31907-1832 | 2020-02-20 |
| 1306479860 | As You Are Housing for Teens | Counselor | 5875 Chantry Dr, Columbus, OH 43232-4764 | 2020-02-12 |
| 1417589185 | Bailey Ehlers | Counselor | 1441 Bethel Rd, Columbus, OH 43220-2001 | 2020-02-10 |
| 1720619372 | Aaron Saez | Counselor | 230 Fenway Rd, Columbus, OH 43214-1410 | 2020-02-03 |
| Find all providers in COLUMBUS | ||||
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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.