JESSICA HANSEN, PLLC (NPI# 1104332907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104332907 |
| Entity Type | Organization |
| Organization Name | JESSICA HANSEN, PLLC |
| Practice Address |
1114 Meadowsweet Ln Vicksburg MI 49097-9487 |
| Practice Telephone | 2697606650 |
| Mailing Telephone | 2697606650 |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2017-12-17 |
| Authorized Official Name | JESSICA HANSEN-VANABEL (OWNER) |
| Authorized Official Telephone | 2697606650 |
| Authorized Official Credential | LPC, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 4101006406 | MI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401011082 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1114 MEADOWSWEET LN |
| City | VICKSBURG |
| State | MI |
| Zip Code | 49097-9487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132168 | Jo Lynne Kirchhoff | Pharmacist | 110 S. Main Streets, Vicksburg, MI 49097 | 2009-05-18 |
| 1558429605 | Ellen Marie Tavarone | Dentist | 602 West Prairie St, Vicksburg, MI 49097 | 2006-12-04 |
| 1598875601 | Robert L Dornbos Dds PC | Dentist | 102 S Main, Vicksburg, MI 49097 | 2006-08-30 |
| 1982680468 | Freds Super Pharmacy Inc | Pharmacy | 121 W Prairie St, Vicksburg, MI 49097 | 2005-12-16 |
| 1477853422 | South County Home Health Providers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N 3rd St, Vicksburg, MI 49097-1017 | 2010-10-25 |
| 1023214921 | Aaron C Ford | Dentist | 602 W Prairie St, Vicksburg, MI 49097-1178 | 2007-06-26 |
| 1154573392 | Family & Children Services, Inc. | Clinic/Center | 101 S Main St, Vicksburg, MI 49097-1210 | 2008-10-21 |
| 1144756610 | Pamela Hendershot | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2017-05-03 |
| 1598990525 | Kelly Ann Soekarmoen | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2009-05-19 |
| 1184670085 | Hill's Pharmacy of Vicksburg, Inc. | Pharmacy | 110 S Main St, Vicksburg, MI 49097-1211 | 2006-05-25 |
| Find all providers in zip 49097 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780019620 | Janet Marie Glaes | Counselor | 7520 E U Ave, Vicksburg, MI 49097-9310 | 2013-09-11 |
| 1073866513 | Tonya Hall Smith | Counselor | 1905b Mission 66 Ste 4d, Vicksburg, MS 39180-3711 | 2012-10-22 |
| 1861408270 | Jana L Holmes-moore | Counselor | 108 Ruby Ln, Vicksburg, MS 39183-9227 | 2006-07-31 |
| 1033168299 | Walter Lee Frazier | Counselor | 1414 Cherry St, Vicksburg, MS 39180-3218 | 2006-05-08 |
| 1588132922 | Sheree Marie Mcdaniel | Counselor | 122 S Main St, Vicksburg, MI 49097-1278 | 2018-11-03 |
| 1619467735 | Anew Beginning Solutions, LLC | Counselor | 136 Honeysuckle Ln, Vicksburg, MS 39183-3454 | 2018-05-14 |
| 1407389893 | Meredith Taft | Counselor | 122 S Main St, Vicksburg, MI 49097-1278 | 2017-04-04 |
| 1043766884 | Harold Melancon | Counselor | 1414 Cherry St, Vicksburg, MS 39180-3218 | 2016-08-31 |
| 1477009207 | Chaney Carlucci | Counselor | 1414 Cherry St, Vicksburg, MS 39180-3218 | 2016-08-31 |
| 1689059537 | Kathryn Wright | Counselor | 1414 Cherry St, Vicksburg, MS 39180-3218 | 2015-07-21 |
| Find all providers in VICKSBURG | ||||
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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.