JENNIFER LYNN MCCRILLIS (NPI# 1093205684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093205684 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN MCCRILLIS |
| Credential | LMSW |
| Practice Address |
1300 Arrowhead Plaza Driggs ID 83422 |
| Mailing Address |
Po Box 1183 Driggs ID 83422-1183 |
| Practice Telephone | 5303213051 |
| Mailing Telephone | 5303213051 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
36-717 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1300 ARROWHEAD PLAZA |
| City | DRIGGS |
| State | ID |
| Zip Code | 83422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310278 | Lance Ole Einerson | Physical Therapist | 440 North Main Street, Driggs, ID 83422 | 2019-08-08 |
| 1730636358 | Tkj, LLC | Health Educator | 1251 Arrowhead Plaza Way, Driggs, ID 83422 | 2016-09-01 |
| 1790136091 | Teton County Fire Protection Dist | Ambulance | 911 North Hwy 33, Driggs, ID 83422 | 2016-06-28 |
| 1922458942 | Candace Dayton | Social Worker | 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 | 2016-06-21 |
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1902211089 | Anna Rhea Hirnyck | Physical Therapist | 500 E Ski Hill, Drigga, ID 83422 | 2014-06-26 |
| 1982018867 | Ruby Isaly | Speech-Language Pathologist | 560 E Howard Avenue, Driggs, ID 83422 | 2014-06-18 |
| 1043633712 | Neerings Dental Inc, Dba Teton Valley Dental Center | Dentist | 235 Wallace Ave, Driggs, ID 83422 | 2014-01-30 |
| 1205261583 | Sara Helen Mckeown White | Counselor | 1300 Arrowhead Plaza Way, Driggs, ID 83422 | 2013-09-05 |
| 1992006761 | Kelly P Sadauckas | Physical Therapist | 18 North Main St, Suite 215, Driggs, ID 83422 | 2010-11-10 |
| Find all providers in zip 83422 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366692410 | Sarah Sellergren Dunn | Counselor | 60 E Little Ave, Suite 2, Driggs, ID 83422-5224 | 2008-09-25 |
| 1912055591 | Erica J Burns | Counselor | 76 N Main St Rm 207, Driggs, ID 83422-5141 | 2007-01-08 |
| 1598833147 | Patricia Lee Snarr | Counselor | 35 North 1st East, Driggs, ID 83422 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255881 | Gerlyn Danette Walker | Counselor | 414 N Lincoln Ave Ste 1, Jerome, ID 83338-2300 | 2020-11-03 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1437761491 | Bridges Behavioral Health LLC | Counselor | 16810 N Dartmouth Ave, Nampa, ID 83687-3028 | 2020-08-20 |
| 1891307815 | Pointview Counseling LLC | Counselor | 5700 E Franklin Rd Ste 220b, Nampa, ID 83687-7903 | 2020-08-20 |
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1356959787 | Heidi Alyssa Stark | Counselor | 4024 Ivy Dr, Nampa, ID 83686-8852 | 2020-07-22 |
| 1316563505 | Family Health Services Corporation | Counselor | 607 2nd Ave E, Twin Falls, ID 83301-7128 | 2020-06-23 |
| 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.