JESSICA ROSE ERICKSON (NPI# 1275061152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275061152 |
| Entity Type | Individual |
| Full Name | JESSICA ROSE ERICKSON |
| Practice Address |
2928 W 5th St Fort Worth TX 76107-2242 |
| Mailing Address |
5509 Parkview Hills Ln Fort Worth TX 76179-6711 |
| Practice Telephone | 8173326348 |
| Practice Fax Number | 8173326489 |
| Mailing Telephone | 8173326348 |
| Mailing Fax Number | 8173326489 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
74195 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093221 | Jessica Alcalay Erickson | Student in an Organized Health Care Education/Training Program | 829 Cole St, San Francisco, CA 94117-3907 | 2019-03-24 |
| 1689853491 | Jessica Leigh Erickson | Counselor | 147 Cooper Ln E, Cody, WY 82414-9233 | 2007-10-29 |
| 1295369908 | Jessica Blu Erickson | Nurse Practitioner | 715 S 9th St, Canon City, CO 81212-4911 | 2020-03-03 |
| 1487219283 | Jessica Erickson | Counselor | 1221 Broadway, Hannibal, MO 63401-4005 | 2019-05-07 |
| 1891211603 | Jessica Erickson | Nurse Practitioner | 24 Lyman St Ste 300, Westborough, MA 01581-1484 | 2017-08-15 |
| 1982129060 | Jessica Rae Erickson | Dietitian, Registered | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-08-09 |
| 1730614892 | Jessica Erickson | Internal Medicine | 9500 Euclid Ave, Department of Infectious Disease, Cleveland, OH 44195-0001 | 2017-04-26 |
| 1033665500 | Jessica M Erickson | Dental Hygienist | 2 Copeland Ave Ste 203, La Crosse, WI 54603-3419 | 2016-08-25 |
| 1770940405 | Jessica Erickson | Counselor | 1231 N 29th St, Billings, MT 59101-0122 | 2016-01-26 |
| 1962894865 | Jessica Erickson | Social Worker | 493 Quincy St, Top Floor, Brooklyn, NY 11221-1505 | 2015-03-02 |
| Street Address |
2928 W 5TH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982662698 | Barney Hisanaga | Counselor | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2006-05-02 |
| 1710599642 | Carolyn N Smythe | Counselor | 2928 W 5th St, Fort Worth, TX 76107-2291 | 2020-08-21 |
| 1306405881 | Carie Wilkerson Chandler | Counselor | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2019-06-10 |
| 1720589773 | Keijuanna Janee Jackson | Social Worker | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2018-02-26 |
| 1689199010 | Teshia L Kyser | Counselor | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2017-08-07 |
| 1922423383 | Mary J Harris | Counselor | 2928 W 5th St, Fort Worth, TX 76107 | 2014-02-21 |
| 1427482140 | Melody G Argueta | Social Worker | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2013-08-29 |
| 1003190869 | Felice Mayes | Counselor | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2011-09-28 |
| 1417237033 | Heather Colby | Social Worker | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2011-08-26 |
| 1659679181 | Paris Blake | Marriage & Family Therapist | 2928 W 5th St, Fort Worth, TX 76107-2242 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428780 | Cynthia Frazier | Counselor | 2612 Dahlia Dr, Fort Worth, TX 76123-1252 | 2020-08-23 |
| 1326650755 | Next Steps Professional Counseling Services, LLC | Counselor | 101 S Jennings Ave Unit 104, Fort Worth, TX 76104-1112 | 2020-08-18 |
| 1477163103 | Adriana E Speiker | Counselor | 3509 Hulen St Ste 251, Fort Worth, TX 76107-6867 | 2020-08-07 |
| 1285252031 | Kiersta Lane Garcia | Counselor | 1810 8th Ave Ste B204, Fort Worth, TX 76110-1352 | 2020-07-08 |
| 1588290571 | Heather Penry | Counselor | 1024 Marlow Ln, Fort Worth, TX 76131-5375 | 2020-03-21 |
| 1992339105 | Azmeh Amer | Counselor | 172 Saint Donovan St, Fort Worth, TX 76107-1252 | 2020-02-26 |
| 1588297121 | Surnedra C Simmons | Counselor | 4941 Sunset Ridge Dr, Fort Worth, TX 76123-4615 | 2020-02-21 |
| 1821629957 | Turquoise Banks | Counselor | 5821 Wedgwood Dr, Fort Worth, TX 76133-2726 | 2020-01-28 |
| 1003447236 | Nicole Leona Sallee | Counselor | 201 Main St Fl 6, Fort Worth, TX 76102-3105 | 2020-01-27 |
| 1780214106 | Jeremy Adam Lelek | Counselor | 2501 Parkview Dr Ste 220, Fort Worth, TX 76102-5824 | 2020-01-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on JESSICA ROSE ERICKSON.
| 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.