JESSICA CONRAD (NPI# 1194211276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194211276 |
| Entity Type | Individual |
| Full Name | JESSICA CONRAD |
| Credential | LPC |
| Practice Address |
600 Wayne Ave Dayton OH 45410-1122 |
| Practice Telephone | 9374962000 |
| Mailing Telephone | 9374962000 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1832 Adams St, Toledo, OH 436044428 | 4197209247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1780913251 | Jessica Conrad | Doula | 230 Saint James Pl Apt 4a, Brooklyn, NY 11238-2367 | 2009-12-13 |
| 1821189176 | Jessica N Conrad | Dental Hygienist | 760 Us Hwy 206, Ste 2, Hillsborough, NJ 08844-1506 | 2006-09-28 |
| 1962857680 | Jessica Ann Conrad | Registered Nurse | 4050 Bridge View Dr, Suite 600, North Charleston, SC 29405-7488 | 2016-05-02 |
| 1992103865 | Jessica Conrad | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-12-09 |
| 1992045934 | Jessica Conrad | Counselor | 464 Chestnut St, Manchester, NH 03101-1804 | 2013-02-28 |
| 1316986417 | Jessica Conrad | Nurse Practitioner | 150 Infirmary Way, Amherst, MA 01003-9288 | 2006-06-05 |
| Street Address |
600 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45410-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811920556 | Eastway Corporation | Clinic/Center | 600 Wayne Ave, Dayton, OH 45410-1122 | 2006-07-08 |
| 1669072310 | Deonate Gary | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-30 |
| 1023618972 | Shakora Flowers | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1396345153 | Heather Elaine Miller | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1174123475 | Bettie Parks | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-27 |
| 1952900847 | Christina M Smith | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-21 |
| 1912505520 | Kelly E Blevins | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-15 |
| 1366049090 | Dana Bobalik | Social Worker | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-06 |
| 1780281576 | Heather Miller | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-05 |
| 1073110292 | Kristy Rothgeb | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
| 1326499021 | Courtney Renee Downing | Registered Nurse | 600 Wayne Ave., Dayton, OH 45410-1122 | 2016-06-24 |
| 1982791729 | Robert Orgain Hardy | Psychiatry & Neurology | 600 Wayne Av, Eastway Behavioral Healthcare, Dayton, OH 45410-1122 | 2006-10-05 |
| 1619223401 | Joshua Matthew Estepp | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| 1164778957 | Myekale S Novy | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| Find all providers in zip 45410 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525763 | Essential Reflections Counseling and Consultation, LLC | Community/Behavioral Health | 4130 Linden Ave Ste 320, Dayton, OH 45432-3034 | 2019-09-02 |
| 1447807524 | Marathon Recovery Services | Community/Behavioral Health | 25 Marathon Ave, Dayton, OH 45405-3613 | 2019-08-22 |
| 1205392677 | Victory Town Community Foundation | Community/Behavioral Health | 5200 Philadelphia Dr, Dayton, OH 45415-3608 | 2019-02-11 |
| 1861987364 | Daybreak, Inc | Community/Behavioral Health | 701 S Patterson Blvd, Dayton, OH 45402-2620 | 2018-06-27 |
| 1619461555 | Tryyun Yarbrough | Community/Behavioral Health | 166 Henry St, Dayton, OH 45403-2398 | 2018-06-14 |
| 1922591833 | Fernandis Wayne Jenkins | Community/Behavioral Health | 601 Xenia Ave, Dayton, OH 45410-1825 | 2018-06-14 |
| 1780178624 | Marilyn Yvonne Davis | Community/Behavioral Health | 166 Henry St Apt 2, Dayton, OH 45403-2343 | 2018-06-14 |
| 1295228195 | Aaren Nicole Scandrick | Community/Behavioral Health | 166 Henry St Apt 5, Dayton, OH 45403-2343 | 2018-06-14 |
| 1568998904 | Project Cure Inc | Community/Behavioral Health | 1800 N. James Mcgee Blvd, Dayton, OH 45417-9526 | 2017-05-04 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| Find all providers in DAYTON | ||||
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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.