BRENDA JOY FRICKE (NPI# 1114077864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114077864 |
Entity Type | Individual |
Full Name | BRENDA JOY FRICKE |
Credential | MA, LPC |
Practice Address |
402 S Elm Box 798 Dixon MO 65459 |
Mailing Address |
25945 Sandlewood Ln Po Box 175 Laquey MO 65534-7615 |
Practice Telephone | 5735283558 |
Practice Fax Number | 5737746992 |
Mailing Telephone | 5735283558 |
Mailing Fax Number | 5737746992 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2003002001 | MO | Behavioral Health & Social Service Providers |
Street Address |
402 S ELM BOX 798 |
City | DIXON |
State | MO |
Zip Code | 65459 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205091139 | William Edward Colyer | Family Medicine | Hwy 28 100 E. 5th Street, Dixon, MO 65459 | 2008-07-21 |
1770621542 | Dixon Ambulance District | Ambulance | 305 S. Ellen St., Dixon, MO 65459 | 2007-02-02 |
1124152855 | Romar Gianan Milos | Physical Therapist | 106 West Fourth Street, Dixon, MO 65459-0166 | 2007-03-15 |
1255471587 | Dixon Reorganized Dist R1 | Physical Therapist | 106 W Fourth St, Dixon, MO 65459-0166 | 2007-02-07 |
1992997852 | Yvette Labajo Jakosalem | Occupational Therapist | 106 W Fourth St, Dixon Reorgaized Distr R-1, Dixon, MO 65459-0166 | 2007-08-15 |
1316070444 | Julia Clodius Cooke | Speech-Language Pathologist | 106 W Fourth St, Box A, Dixon, MO 65459-0166 | 2007-03-14 |
1134282429 | Hometown Pharmacy | Pharmacy | 206 West 2nd Street, Dixon, MO 65459-0220 | 2006-12-18 |
1235135682 | Dixon Family Practice and Internal Medicine, LLC | Family Medicine | 206 West 2nd Street, Dixon, MO 65459-0940 | 2005-06-21 |
1164427324 | Carlene S Mcmillian | Nurse Practitioner | 206 W. 2nd Street, Dixon, MO 65459-0940 | 2005-06-15 |
1285817361 | Denise Lorenz | Counselor | 402 South Elm St, Dixon, MO 65459-6004 | 2007-12-11 |
Find all providers in zip 65459 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336792514 | Casey Villescas | Counselor | 115 E 1st St Ste 120, Dixon, IL 61021-3023 | 2019-07-17 |
1073963963 | Stacy Jo Barber | Counselor | 820 Colony Rd, Dixon, IL 61021-9027 | 2016-06-21 |
1841620010 | Michelle Lenz | Counselor | Sinnissippi Centers, Inc. Route 2 325 Il Rt. 2, Dixon, IL 61021-9118 | 2013-11-25 |
1285817361 | Denise Lorenz | Counselor | 402 South Elm St, Dixon, MO 65459-6004 | 2007-12-11 |
1073160537 | Roots & Wings Therapy LLC | Counselor | 115 E 1st St Ste 120, Dixon, IL 61021-3023 | 2019-08-20 |
1477069847 | Mobre Counseling Services, LLC | Counselor | 119 W 1st St Ste 110, Dixon, IL 61021-3056 | 2017-12-21 |
1639607278 | Timothy James Schoonover | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2017-05-26 |
1831541150 | Brooke Garcia-nettz | Counselor | 119 W 1st St, Suite 110, Dixon, IL 61021-3056 | 2016-07-11 |
1235518580 | James Hagler | Counselor | 2600 N Brinton Ave, Dixon, IL 61021-9532 | 2015-05-20 |
1669709648 | Alliances Counseling Services | Counselor | 119 W 1st St, Suite 110, Dixon, IL 61021-3056 | 2009-11-11 |
Find all providers in DIXON |
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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.