WAYNE TERPSTRA JR. (NPI# 1154855633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154855633 |
| Entity Type | Individual |
| Full Name | WAYNE TERPSTRA JR. |
| Practice Address |
130 Arizona Ave Ste 1500 Plattsburgh NY 12903-4908 |
| Practice Telephone | 5185654060 |
| Practice Fax Number | 5185660168 |
| Mailing Telephone | 5185654060 |
| Mailing Fax Number | 5185660168 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
130 ARIZONA AVE STE 1500 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12903-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396298782 | Jean-luc Fortin | Counselor | 130 Arizona Ave, Ste 1500, Plattsburgh, NY 12903-4908 | 2016-08-02 |
| 1619513843 | Anna Epshteyn | Social Worker | 130 Arizona Ave, Plattsburgh, NY 12903-4908 | 2019-11-22 |
| 1689230922 | David Steinar Rasmussen | Social Worker | 130 Arizona Ave, Plattsburgh, NY 12903-4908 | 2019-05-13 |
| 1255997508 | Brittany Lashway | Counselor | 130 Arizona Ave, Plattsburgh, NY 12903-4908 | 2019-05-13 |
| 1649702879 | Jay Bleeker | Registered Nurse | 130 Arizona Ave, Ste 1500, Plattsburgh, NY 12903-4908 | 2017-03-28 |
| 1376081505 | Kelsie Miller | Counselor | 130 Arizona Ave, Ste 1500, Plattsburgh, NY 12903-4908 | 2017-02-08 |
| 1255878583 | Dana Dixon | Registered Nurse | 130 Arizona Ave, Plattsburgh, NY 12903-4908 | 2017-01-25 |
| 1952846941 | Michele Paulson | Social Worker | 130 Arizona Ave, Ste 1500, Plattsburgh, NY 12903-4908 | 2016-12-29 |
| 1629521091 | Abigail Huckeba | Counselor | 130 Arizona Ave, Ste 1500, Plattsburgh, NY 12903-4908 | 2016-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395426 | Jacklyn Dwyer | Social Worker | 22 Oval, Suite 100, Plattsburgh, NY 12903 | 2020-04-22 |
| 1316456130 | Jenna Cassandra Seymour | Counselor | 22 Us Oval Suite 100, Plattsburgh, NY 12903 | 2017-09-25 |
| 1649726894 | Tammy Braun | Counselor | 22 Us Oval Suite 218, Plattsburgh, NY 12903 | 2016-08-28 |
| 1205382439 | Tanasia Betts | Counselor | Behavioral Health Services North, 22 Us Oval, Suite 100, Plattsburgh, NY 12903 | 2016-08-28 |
| 1689061012 | Lori Brandmeier | Licensed Practical Nurse | 22 Oval Suite 218, Plattsburgh, NY 12903 | 2015-04-23 |
| 1881141455 | Madeline Hope | Counselor | 22 Us Oval, Suite 100, Plattsburgh, NY 12903 | 2016-09-01 |
| 1114909553 | Elizabeth Louise Yokum | Social Worker | 22 Us Oval, #212, Plattsburgh, NY 12903 | 2005-11-18 |
| 1013354539 | L Woerner Inc | Home Health | 176 Us Oval Ste 3, Plattsburgh, NY 12903-3900 | 2013-05-23 |
| 1215104153 | Champlain Valley Audiology, Pllc | Audiologist-Hearing Aid Fitter | 176 Us Oval, Suite 3, Plattsburgh, NY 12903-3900 | 2008-05-09 |
| 1528076254 | Jacqueline S Oertel | Social Worker | 174 Us Oval, Plattsburgh, NY 12903-3900 | 2006-08-05 |
| Find all providers in zip 12903 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083957575 | Scott Broderick | Counselor | 118 Algonquin Pk, Plattsburgh, NY 12901 | 2013-04-03 |
| 1588766679 | Tara Jeanne Brennan | Counselor | 43 Durkee St, Suite 400, Va Medical Clinic, Plattsburgh, NY 12901-2942 | 2006-09-01 |
| 1255443719 | Jessie Notch-leblanc | Counselor | 159 Margaret St Ste 250, Plattsburgh, NY 12901-1874 | 2006-08-31 |
| 1568481810 | Deborah Lee Johnson | Counselor | 16 Ampersand Dr, Plattsburgh, NY 12901-6500 | 2006-07-18 |
| 1164465902 | Clinton County | Counselor | 130 Arizona Ave Ste 1500, Plattsburgh, NY 12903-4908 | 2006-06-13 |
| 1003439001 | Katrina Lopez | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-05-26 |
| 1164051066 | James Perales | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-04-03 |
| 1538705678 | Carlee Agoney | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-25 |
| 1982249173 | Marlene Holmes | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-12 |
| 1407409592 | Chad Michael Rollings | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-07-18 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12903 |
Please comment or provide details below to improve the information on WAYNE TERPSTRA JR..
| 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.