FRED JONES (NPI# 1194806331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194806331 |
Entity Type | Individual |
Full Name | FRED JONES |
Credential | CADCIII, LPC |
Practice Address |
5303 W North Ave Milwaukee WI 53208 |
Mailing Address |
5303 W North Ave Milwaukee WI 53208-1021 |
Practice Telephone | 4144450997 |
Practice Fax Number | 4144450989 |
Mailing Telephone | 4144450997 |
Mailing Fax Number | 4144450989 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2018-08-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
151 | WI | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
3220-125 | WI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 39736200 | 05 | |
WI | CADCIII | 151 | 01 |
WI | LPC | 3220-125 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043737224 | Fred Timothy Jones | Counselor | 178 Private Drive 19423, South Point, OH 45680 | 2017-08-28 |
1619037140 | Fred Joseph Jones Jr. | Chiropractor | 2260 Hewlett Ave, Merrick, NY 11566 | 2006-12-12 |
1316040207 | Fred M Jones | Dentist | 16000 Stone Lake Rd, Dulce, NM 87528-0000 | 2006-09-06 |
1558477588 | Fred Thomas Jones | Pharmacist | 1508 Centurion Dr, Hephzibah, GA 30815-4581 | 2006-08-22 |
Street Address |
5303 W NORTH AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538278650 | Nancy Perleberg | Social Worker | 5303 W North Ave, Milwaukee, WI 53208-1021 | 2006-08-30 |
1588085492 | Sharon Jalloh | Counselor | 5303 W North Ave, Milwaukee, WI 53208-1021 | 2013-12-18 |
1992136899 | Northern Crossing Behavioral Health Services, LLC | Clinic/Center | 5303 W North Ave, Milwaukee, WI 53208-1021 | 2013-12-03 |
1669715264 | Morgyn Steinbrecher | Counselor | 5303 W North Ave, Milwaukee, WI 53208 | 2013-04-02 |
1710254834 | Amanda C Messina | Psychologist | 5303 W North Ave, Milwaukee, WI 53208 | 2011-11-17 |
1891088688 | Ann Helene Muller | Social Worker | 5303 W North Ave, Milwaukee, WI 53208-1021 | 2011-05-26 |
1720392996 | Joanne Nelson | Social Worker | 5303 W North Ave, Milwaukee, WI 53208-1021 | 2010-07-29 |
1144400383 | Northern Crossing Behavioral Health Services, LLC | Clinic/Center | 5303 W North Ave, Milwaukee, WI 53208 | 2007-11-05 |
1083737068 | Anne M. Fors Spahr | Psychologist | 5303 W North Ave, Milwaukee, WI 53208-1021 | 2007-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831662535 | Mary Ehrgood | Marriage & Family Therapist | Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 | 2019-01-04 |
1265976989 | Redeeming Hearts Home Care Agency, LLC | Home Health | 3223 W Lloyd St, Milwaukee, WI 53208 | 2016-12-14 |
1205379500 | Benjamin Michael Bleck-owens | Counselor | 5508 W. Vliet Street, Milwaukee, WI 53208 | 2016-11-18 |
1730552662 | John Bosnjak | Pharmacist | 3727 W. Wisconsin Ave., Milwaukee, WI 53208 | 2015-10-30 |
1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
1629407226 | Dhanya Jayadevan Nair | Marriage & Family Therapist | 3200 W. Highland Blvd., Milwaukee, WI 53208 | 2013-11-04 |
1619215704 | Nurturing Concepts LLC | In Home Supportive Care | 5722 W North Ave, Milwaukee, WI 53208 | 2013-01-23 |
1831447986 | Amy Schuldt | Registered Nurse | 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 | 2012-08-21 |
1144588922 | Grassroots Empowerment Project Inc | Community Health Worker | 3732 W Wisconsin Ave, Milwaukee, WI 53208 | 2012-04-30 |
1245468180 | Elizabeth Adams | Registered Nurse | 1917 N 34 Th St, Milwaukee, WI 53208 | 2009-06-30 |
Find all providers in zip 53208 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
Find all providers in MILWAUKEE |
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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.