JENNIFER BERG (NPI# 1245656826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245656826 |
| Entity Type | Individual |
| Full Name | JENNIFER BERG |
| Practice Address |
1028 Walnut St Yankton SD 57078-2910 |
| Practice Telephone | 6056654606 |
| Practice Fax Number | 6056654673 |
| Mailing Telephone | 6056654606 |
| Mailing Fax Number | 6056654673 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| 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) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066692 | Jennifer L Berg | Student in an Organized Health Care Education/Training Program | 31 Poppy St, Casper, WY 82604-3813 | 2018-03-15 |
| 1851894398 | Jennifer Marie Berg | Occupational Therapy Assistant | 9821 County Road L, Delta, OH 43515-9773 | 2018-03-12 |
| 1093223372 | Jennifer Berg | Early Intervention Provider Agency | 137 S 17th St Apt B, St Charles, IL 60174-2547 | 2018-01-20 |
| 1669530622 | Jennifer Berg | Psychologist | 10801 El Camino Real, Atascadero, CA 93422-8867 | 2006-12-04 |
| 1124538772 | Jennifer Ashley Berg | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2017-10-10 |
| 1144579012 | Jennifer Marie Berg | Pharmacist | 1500 Ribaut Rd, Port Royal, SC 29935 | 2012-09-06 |
| 1194001743 | Jennifer Anne Berg | General Acute Care Hospital | 3800 Reservoir Rd, Georgetown University Hospital, Washington, DC 20007 | 2011-10-27 |
| 1255628780 | Jennifer A Berg | Psychologist | 30011 Ivy Glenn Dr, Ste 206, Laguna Niguel, CA 92677-5017 | 2011-07-05 |
| 1285803817 | Jennifer Lynn Berg | Nurse Anesthetist, Certified Registered | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2008-02-28 |
| 1689899940 | Jennifer Berg | Pharmacist | 1843 Johnson Ave Nw, Cedar Rapids, IA 52405-4752 | 2007-04-13 |
| Street Address |
1028 WALNUT ST |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039843 | Cory Alan Nelson | Counselor | 1028 Walnut St, Lewis & Clark Bhs, Yankton, SD 57078-2910 | 2005-11-03 |
| 1063028173 | Elizabeth Welbes | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-09-23 |
| 1497373369 | Kaylene Prusia | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-07-08 |
| 1568086064 | Kristen Naomi Hanzlik | Nurse Practitioner | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-06-01 |
| 1851931786 | Gabriel Razcon Durazo | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-01-08 |
| 1891339735 | Molly Pingrey | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2019-11-04 |
| 1538621743 | Meagan Dooley | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2019-04-05 |
| 1700344926 | Amanda Shafer | Social Worker | 1028 Walnut St, Yankton, SD 57078-2910 | 2019-03-06 |
| 1548730070 | Krista Humpal | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2018-11-27 |
| 1174091953 | Donna Knodel | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2018-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028173 | Elizabeth Welbes | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-09-23 |
| 1497373369 | Kaylene Prusia | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-07-08 |
| 1851931786 | Gabriel Razcon Durazo | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2020-01-08 |
| 1891339735 | Molly Pingrey | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2019-11-04 |
| 1538621743 | Meagan Dooley | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2019-04-05 |
| 1548730070 | Krista Humpal | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2018-11-27 |
| 1174091953 | Donna Knodel | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2018-11-09 |
| 1972093656 | Madison Harrington | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2018-05-17 |
| 1346755311 | Sheri Koch | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2017-12-12 |
| 1134662620 | Linda Richards | Counselor | 1000 W 4th St, Yankton, SD 57078-3730 | 2016-12-01 |
| Find all providers in YANKTON | ||||
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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.