JESSICA MADDY (NPI# 1295215945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295215945 |
| Entity Type | Individual |
| Full Name | JESSICA MADDY |
| Practice Address |
11059 E Bethany Dr Aurora CO 80014-2622 |
| Practice Telephone | 3036172300 |
| Practice Fax Number | 3036172365 |
| Mailing Telephone | 3036172300 |
| Mailing Fax Number | 3036172365 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-06-16 |
| NPI Deactivation Date | 03/19/2020 |
| NPI Reactivation Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
11059 E BETHANY DR |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654463 | Marc Paul Goodman | Psychiatry & Neurology | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2005-07-29 |
| 1699311605 | Angelica Halbert | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-11-25 |
| 1639714231 | Sharon Elaine Bonds | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-11-07 |
| 1598308603 | Salia R Thomas | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-10-21 |
| 1467002022 | Ashley Martin | Student in an Organized Health Care Education/Training Program | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-09-16 |
| 1013561612 | Ashley Rose Dryer | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-31 |
| 1295389096 | Elizabeth Healy | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-30 |
| 1326692526 | Celia Pope | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-26 |
| 1710546841 | Ana Rosa Saucedo Lopez | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-06-12 |
| 1780240853 | Emily Carlson | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399129 | Chelsey Kristin Rickert | Counselor | 2090 S Hannibal Way Apt B, Aurora, CO 80013-4024 | 2020-09-02 |
| 1891304424 | Accountability In Rehabilitative and Restorative Treatment LLC | Counselor | 2851 S Parker Rd Ste 430, Aurora, CO 80014-2802 | 2020-07-29 |
| 1114536950 | Behavioral Health Partners, Inc. | Counselor | 10730 E Bethany Dr Ste 120, Aurora, CO 80014-2694 | 2020-07-28 |
| 1184242570 | Jennifer Jean Peterson | Counselor | 162 S Joliet Cir Apt 303, Aurora, CO 80012-1082 | 2020-07-11 |
| 1316560139 | Jena Anderson | Counselor | 6086 S Biscay St, Aurora, CO 80016-3843 | 2020-05-27 |
| 1437772704 | Christy Joy Malone | Counselor | 2993 S Peoria St Ste 128, Aurora, CO 80014-5704 | 2020-05-21 |
| 1114540432 | Imani Marie Lipscomb | Counselor | 14082 E Iowa Dr, Aurora, CO 80012-5501 | 2020-05-20 |
| 1770104895 | Garland Bell-quinton | Counselor | 12510 E Iliff Ave Ste 110, Aurora, CO 80014-6377 | 2020-04-29 |
| 1649809500 | Sheila Nicole Hughes | Counselor | 498 S Memphis Way Apt A, Aurora, CO 80017-3649 | 2020-04-03 |
| 1053949107 | Alannah Rice | Counselor | 173 N Biloxi Way, Aurora, CO 80018-1544 | 2020-04-01 |
| Find all providers in AURORA | ||||
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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.