MR. JACK A DARDES (NPI# 1205095288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205095288 |
| Entity Type | Individual |
| Full Name | MR. JACK A DARDES |
| Credential | MA |
| Practice Address |
900 State St Suite 213 Erie PA 16501-1419 |
| Mailing Address |
2540 White Oak Dr Waterford PA 16441-3416 |
| Practice Telephone | 8144543811 |
| Mailing Telephone | 8147964423 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2011-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC002221 | PA | Behavioral Health & Social Service Providers |
| Street Address |
900 STATE ST SUITE 213 |
| City | ERIE |
| State | PA |
| Zip Code | 16501-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386181279 | Jason C Chenault | Health Educator | 900 State St, Suite 202b, Erie, PA 16501-1419 | 2017-01-30 |
| 1366891368 | Institute On Healthcare Directives | Emergency Medicine | 900 State St, Erie, PA 16501-1419 | 2016-06-09 |
| 1114217270 | Nichole Lee Sonderman | Psychiatry & Neurology | 900 State St, Suite 203b, Erie, PA 16501-1419 | 2011-04-11 |
| 1700014008 | Meaghan M Casey | Psychiatry & Neurology | 900 State St, Suite 203b, Erie, PA 16501-1419 | 2009-06-24 |
| 1437267366 | Robert M Dowling | Psychologist | 900 State St, Suite 314, Erie, PA 16501-1419 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496872 | Maureen Grady | Physician Assistant | 240 West 11th Street, Suite 2, Erie, PA 16501 | 2019-09-17 |
| 1093291023 | Passavant Development Corporation | Pharmacy | 1611 Peach St Ste 400, Erie, PA 16501 | 2018-07-12 |
| 1073043675 | Stephanie Owens | Specialist/Technologist | 211 West 8th Street, Erie, PA 16501 | 2017-06-15 |
| 1114335130 | Julia Campbell | Occupational Therapist | 207 W. 11th. St., Suite 402, Erie, PA 16501 | 2014-07-23 |
| 1669766481 | Seth David Fox | Ophthalmology | 128 West 12 St, Ste 200, Erie, PA 16501 | 2011-06-09 |
| 1336438910 | Maryna Petrasheuskaya | Dentist | 1611 State Street, 465, Erie, PA 16501 | 2011-04-04 |
| 1891092565 | Amber Leann Allshouse | Counselor | 1602 State St Ste 390, Erie, PA 16501 | 2011-02-16 |
| 1225331986 | Jennifer Marie Kuzmin | Counselor | 1001 State St Ste 1409, Erie, PA 16501 | 2010-12-17 |
| 1093026510 | Community Health Net | Pharmacy | Daniel S. Snow M.d. Health Center, 1202 State Street, Erie, PA 16501 | 2010-06-30 |
| 1467634113 | Chester Francis Battersby Sr. | Chiropractor | 265 West 10th St, Erie, PA 16501 | 2007-12-04 |
| Find all providers in zip 16501 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386529 | Dawn Renee Sokol | Counselor | 4444 Sterrettania Rd, Erie, PA 16506-4129 | 2018-05-17 |
| 1821586348 | Lisa Yaple | Counselor | 2721 Elmwood Ave, Erie, PA 16508-1422 | 2018-04-30 |
| 1356851596 | Diamonds Enterprise Health Services,llc | Counselor | 2221 Peninsula Dr # 209, Erie, PA 16506-2954 | 2017-10-02 |
| 1609299155 | Deana Ann Hartshorn | Counselor | 1482 Brimble Dr, Erie, CO 80516-7254 | 2014-02-03 |
| 1376966150 | Kathleen Beaulieu | Counselor | 4380 W 12th St, Suite 3, Erie, PA 16505-3028 | 2014-01-29 |
| 1538594361 | Jennifer K Stahon | Counselor | 5006 Iroquois Ave, Erie, PA 16511-2457 | 2013-09-11 |
| 1215278197 | Eugene F. Shufesky | Counselor | 517 Maryland Ave Apt 316, 316, Erie, PA 16505-2253 | 2013-03-02 |
| 1114264777 | Optimal Solutions Colorado | Counselor | 215 Cheesman St., Suite K, Erie, CO 80516-8472 | 2013-01-15 |
| 1023377876 | Mark Theuerkauf | Counselor | 816 Poplar St, Erie, PA 16502-1250 | 2012-05-15 |
| 1558649228 | Jessica Ann Shepherd | Counselor | 804 Beaumont Ave, Erie, PA 16505-3417 | 2011-07-29 |
| Find all providers in ERIE | ||||
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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.