DR. JENNIFER AUSTIN MAIN (NPI# 1225271687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225271687 |
Entity Type | Individual |
Full Name | DR. JENNIFER AUSTIN MAIN |
Other Name | JENNIFER R AUSTIN |
Credential | LPC |
Practice Address |
101 Ricky D Britt Sr Blvd Ste 4 Oxford MS 38655-9103 |
Practice Telephone | 6624172824 |
Mailing Telephone | 6624172824 |
Enumeration Date | 2009-04-15 |
Last Update Date | 2020-08-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
APC002193 | GA | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
2046 | MS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952413049 | Jennifer Ann Main | Dentist | 3102 Ingersoll Ave., Des Moines, IA 50312 | 2006-08-31 |
1245722826 | Jennifer Main | Speech-Language Pathologist | 6977 Professional Pkwy E, Lakewood Ranch, FL 34240-8411 | 2018-05-31 |
1073959946 | Jennifer Main | Dental Hygienist | 4655 Sw Griffith Dr, Beaverton, OR 97005-8728 | 2013-05-17 |
1265557268 | Jennifer Lynn Main | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
1801950118 | Jennifer Lynn Main | Internal Medicine | 303 Colland Dr, Banner Health Clinic, Fort Collins, CO 80525-4205 | 2006-12-21 |
1841378007 | Jennifer Joy Main | Audiologist | 615 S New Ballas Rd, Ste. 385a, Saint Louis, MO 63141-8221 | 2006-11-02 |
Street Address |
101 RICKY D BRITT SR BLVD STE 4 |
City | OXFORD |
State | MS |
Zip Code | 38655-9103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932575289 | Maegan Leigh Johnston Tatum | Counselor | 101 Ricky D Britt Sr Blvd Ste 4, Oxford, MS 38655 | 2015-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
Find all providers in zip 38655 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841899978 | Kbccms, LLC | Counselor | 1501 Jackson Ave W Ste 113, Oxford, MS 38655-2566 | 2020-10-20 |
1407415052 | Mind Body Well Therapy, Pllc | Counselor | 160 Christian St, Oxford, CT 06478-1221 | 2019-06-07 |
1811453301 | Anna Davis Mahaffey | Counselor | 308 Enterprise Dr, Oxford, MS 38655-2944 | 2019-02-20 |
1598240814 | Jamie Rachael Taylor | Counselor | 224 County Road 303, Oxford, MS 38655-8357 | 2018-10-02 |
1912489311 | Jordyn Elyse Fisher | Counselor | 2b S Washington St, Oxford, MI 48371-4971 | 2018-08-31 |
1164915005 | Robyn Marie Ankawi | Counselor | 930 E Drahner Rd, Oxford, MI 48371 | 2018-06-13 |
1356858658 | Janna Coleman | Counselor | 507 Heritage Dr Ste 102, Oxford, MS 38655-5571 | 2018-01-08 |
1104378926 | Kayla Lynn Thrushman | Counselor | 2b. S. Washington Ave., Oxford, MI 48371 | 2016-10-27 |
1659746808 | Rosemary Ritterhaus | Counselor | 150 Stony Lake Dr, Oxford, MI 48371-6739 | 2015-12-13 |
1073907697 | Sally Sullivan | Counselor | 1202 Office Park Dr., Suite A, Oxford, MS 38655 | 2015-03-20 |
Find all providers in OXFORD |
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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.