JESSICA PENTECOST (NPI# 1164676805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164676805 |
| Entity Type | Individual |
| Full Name | JESSICA PENTECOST |
| Practice Address |
11 Farber Dr Bellport NY 11713-1500 |
| Practice Telephone | 6312860700 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18179 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053956607 | Jessica Evans Pentecost | Case Manager/Care Coordinator | 3683 S First St, Jena, LA 71342-6409 | 2019-11-07 |
| Street Address |
11 FARBER DR |
| City | BELLPORT |
| State | NY |
| Zip Code | 11713-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659453132 | Catherine Setkowsky | Registered Nurse | 11 Farber Dr, Unit D, Bellport, NY 11713-1500 | 2006-10-20 |
| 1992266290 | Chelsea Forstel | Social Worker | 11 Farber Dr, Bellport, NY 11713-1500 | 2019-03-28 |
| 1053819334 | Mary Christine Climo | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2018-01-31 |
| 1710494505 | Sayyeda Khalfan-zhian | Social Worker | 11 Farber Dr, Bellport, NY 11713-1500 | 2018-01-03 |
| 1922514926 | Daisy Denise Rodriguez | Counselor | 11 Farber Dr, Bellport, NY 11713 | 2017-12-28 |
| 1093221178 | Caitlin Lamneck | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2017-12-27 |
| 1912413329 | Lynsey Bieringer | Social Worker | 11 Farber Dr, Bellport, NY 11713-1500 | 2017-12-20 |
| 1336525377 | Sowania Claudie Germain | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2015-07-31 |
| 1477707289 | Conrado De La Garza | Counselor | 11 Farber Dr, Unit D, Bellport, NY 11713-1500 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1437592557 | Rachel Boykin | Licensed Practical Nurse | 654 Meade Avenue, Bellport, NY 11713 | 2013-04-08 |
| 1922383702 | Gabrielle Maria Coyne | Student in an Organized Health Care Education/Training Program | 35 Kreamer Street, Bellport, NY 11713 | 2011-10-12 |
| 1003124595 | Cathy Jean Ekstrom | Speech-Language Pathologist | 352 Martha Ave, Bellport, NY 11713 | 2010-09-17 |
| 1841440401 | Colline Ann Murphy | Licensed Practical Nurse | 755 Bourdois Ave, Bellport, NY 11713 | 2008-09-19 |
| 1134398209 | Althea Lavernie Bullen | Registered Nurse | 548 Bellport Ave, Bellport, NY 11713 | 2008-02-22 |
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1972641256 | Anne Dooling | Social Worker | 56 Bieselin Road, Bellport, NY 11713 | 2007-02-01 |
| Find all providers in zip 11713 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1336221811 | Annmarie Jazylo | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1053819334 | Mary Christine Climo | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2018-01-31 |
| 1093221178 | Caitlin Lamneck | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2017-12-27 |
| 1730695149 | Marissa Nicole Boscia-wittekind | Counselor | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2017-12-20 |
| 1518323922 | Catherine Schneider | Counselor | 112 S Country Rd, Suite 210, Bellport, NY 11713-2534 | 2016-01-14 |
| 1477707289 | Conrado De La Garza | Counselor | 11 Farber Dr, Unit D, Bellport, NY 11713-1500 | 2008-11-06 |
| 1366643439 | Addie Hampton | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-29 |
| 1497975759 | David Juan | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2007-04-27 |
| Find all providers in BELLPORT | ||||
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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.