MRS. LESLIE GENE JANTSCH WADDELL (NPI# 1164606695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164606695 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE GENE JANTSCH WADDELL |
| Credential | MA LPC NCP CCDP DIPL |
| Practice Address |
176 Virginia Ave Rochester PA 15074-1723 |
| Practice Telephone | 7247755208 |
| Practice Fax Number | 7247700837 |
| Mailing Telephone | 7247755208 |
| Mailing Fax Number | 7247700837 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC002436 | PA | Behavioral Health & Social Service Providers |
| Street Address |
176 VIRGINIA AVE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411429 | Jane L Thurston | Social Worker | 176 Virginia Ave, Rochester, PA 15074-1723 | 2005-07-19 |
| 1831718147 | Ashley N Wood | Nurse Practitioner | 176 Virginia Ave, Rochester, PA 15074-1723 | 2020-04-16 |
| 1215429691 | Stephanie Mudrick | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074-1723 | 2018-06-01 |
| 1598253205 | Julia C Sangster | Counselor | 176 Virginia Ave, Rochester, PA 15074-1723 | 2018-04-27 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1548633647 | Cheryl Neusch | Nurse Practitioner | 176 Virginia Ave, Rochester, PA 15074-1723 | 2015-11-11 |
| 1861881492 | Stacey M. Laverock | Social Worker | 176 Virginia Ave, Rochester, PA 15074-1723 | 2015-01-20 |
| 1184020810 | Lisa Oliver | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074-1723 | 2014-11-06 |
| 1164831657 | Primary Health Network | Clinic/Center | 176 Virginia Ave, Rochester, PA 15074-1723 | 2014-08-08 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| 1396774790 | Rochester Area School District | Local Education Agency (LEA) | 540 Reno St, Rochester, PA 15074-1240 | 2006-06-30 |
| 1154757789 | Passavant Memorial Homes | Community/Behavioral Health | 641 Reno St, Baldwin B, Rochester, PA 15074-1253 | 2013-09-14 |
| 1609891498 | Penn Beaver Pharmacy Inc | Pharmacy | 734 Ohio River Blvd, Rochester Plaza, Rochester, PA 15074-1413 | 2006-07-13 |
| Find all providers in zip 15074 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139952 | Karen Lynn Scott | Counselor | 401 16th St Ne, Rochester, MN 55906-4152 | 2018-09-30 |
| 1871085522 | Cynthie Washburn Christensen | Counselor | 300 1st Ave Nw Ste 240, Rochester, MN 55901-2830 | 2018-05-30 |
| 1871959213 | Catharine Mather-colcernian | Counselor | 704 Green Cir, #201, Rochester, MI 48307-6603 | 2016-01-14 |
| 1871981290 | Tanya Rider | Counselor | 1747 23rd St Se, Rochester, MN 55904-5845 | 2015-01-07 |
| 1992132732 | Agape Counseling Services, LLC | Counselor | 1530 Greenview Dr Sw Ste 207, Rochester, MN 55902-4327 | 2013-10-10 |
| 1740570134 | Horses and Heroes LLC | Counselor | 5645 Meadow Dr Se, Rochester, MN 55904-8628 | 2011-04-19 |
| 1073745576 | Mary P Lamprecht | Counselor | 2100 Campus Dr Se Ste 200, Rochester, MN 55904-4845 | 2009-08-17 |
| 1265676258 | Crystal Marie Guyse | Counselor | 724 1st Ave Sw, Suite 1, Rochester, MN 55902-3356 | 2009-04-22 |
| 1851531867 | Juliet Sheralyn Beckel | Counselor | 602 11th Ave Nw Ste 300, Rochester, MN 55901-2297 | 2009-03-03 |
| 1508053687 | Cheryl Swenny & Associates | Counselor | 201 S. Walnut St, Rochester, IL 62563 | 2007-10-02 |
| Find all providers in ROCHESTER | ||||
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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.