MRS. JESSICA ROSE BURGESS-WISE (NPI# 1376577528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376577528 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ROSE BURGESS-WISE |
| Other Name | JESSICA ROSE BURGESS |
| Credential | LADC |
| Practice Address |
40 Wright Street Wing Memorial Hospital Griswold Center Palmer MA 01069 |
| Mailing Address |
40 Wright Street Palmer MA 01069 |
| Practice Telephone | 4132845285 |
| Practice Fax Number | 4132845384 |
| Mailing Telephone | 4132837651 |
| Mailing Fax Number | 4132845117 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| 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) |
674 | MA | Behavioral Health & Social Service Providers |
| Street Address |
40 WRIGHT STREET WING MEMORIAL HOSPITAL GRISWOLD CENTER |
| City | PALMER |
| State | MA |
| Zip Code | 01069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386628022 | David B Wexler | Otolaryngology | 40 Wright Street, Palmer, MA 01069-1138 | 2005-12-06 |
| 1386142040 | Benjamin R Velardi | Nurse Practitioner | 40 Wright Street, Palmer, MA 01069 | 2018-01-29 |
| 1275995433 | Jonathan A Chinea | Emergency Medicine | 40 Wright Street, Palmer, MA 01069-1138 | 2016-03-25 |
| 1518341205 | Deborah M. Jean-baptiste | Nurse Practitioner | 40 Wright Street, Palmer, MA 01069 | 2015-07-13 |
| 1447507843 | Jenna Brianne Turcotte | Physician Assistant | 40 Wright Street, Hartford Hospital Emergency Medicine, Palmer, MA 01069-1138 | 2012-08-06 |
| 1871722272 | Kelly O. Galster | Surgery | 40 Wright Street, Palmer, MA 01069-1156 | 2009-07-07 |
| 1982769048 | Laura M Morris | Nurse Practitioner | 40 Wright Street, Palmer, MA 01069-1138 | 2006-12-27 |
| 1174539191 | Robert Andrew Spence | Emergency Medicine | 40 Wright Street, Wing Emergency Services, Palmer, MA 01069-1138 | 2006-07-31 |
| 1053335422 | Claire Dayton Kuhn | Psychologist | 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 | 2006-07-27 |
| 1760417000 | Joyce Milton | Social Worker | 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979328 | Jacqueline Pahl | Social Worker | 11 Oakland St., Palmer, MA 01069 | 2018-10-24 |
| 1891277240 | Katherine Beliveau | Developmental Therapist | 1581 N. Main Street, Palmer, MA 01069 | 2018-09-02 |
| 1730606740 | Jordan Elizabeth Pike | Physician Assistant | 40 Wirght, Palmer, MA 01069 | 2017-08-30 |
| 1265880405 | Brittany Ford | Specialist/Technologist | 4105 Main St, Palmer, MA 01069 | 2016-05-27 |
| 1417263021 | Deborah Lee Stroetzel I | Audiologist-Hearing Aid Fitter | 40 Wright St., Palmer, MA 01069 | 2010-08-20 |
| 1063635399 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Monson Dev Cntr, 175 State Ave, Palmer, MA 01069 | 2007-04-11 |
| 1124149273 | Pruushotam Puri | Surgery | Wright Street, Palmer, MA 01069 | 2007-04-03 |
| 1679582019 | Richard Michael Gondek | Dentist | 1436 Main St, Palmer, MA 01069 | 2006-08-05 |
| 1083649222 | Jessica R Senecal-bennett | Social Worker | 42 Wright St, Palmer, MA 01069 | 2006-07-12 |
| 1396770632 | Daniel Shapiro | Social Worker | Wing Memorial Hospital Griswold Center, 40 Wright Street, Palmer, MA 01069 | 2006-07-12 |
| Find all providers in zip 01069 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365279 | Patricia Roberts | Counselor | 1089 Park St, Palmer, MA 01069-1745 | 2018-05-09 |
| 1609054774 | William James Dougherty | Counselor | 3504 Freemansburg Ave, Palmer, PA 18045-5107 | 2008-01-31 |
| 1497972673 | Reba M. Brady | Counselor | 2151 Hemmer Road, Palmer, AK 99645 | 2007-04-19 |
| 1952961807 | Leann Renick | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1598325433 | Tatyana Disla | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1396305249 | Norman Lingley | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1932769882 | Elizabeth Butler | Counselor | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-06-13 |
| 1487099487 | Amanda Leigh Wolfe | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2013-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042996 | Lisa Mcmanus | Counselor | 365 East St # C-2, Tewksbury, MA 01876-1950 | 2020-11-01 |
| 1770183634 | Lilian Emefiele | Counselor | 34 Gilfford St., New Bedford, MA 02744 | 2020-10-29 |
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1649879834 | Charles Skoler | Counselor | 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 | 2020-10-20 |
| 1669070553 | Tayla Legrand | Counselor | 100 Autumn Ln, Tewksbury, MA 01876-5500 | 2020-10-13 |
| 1467050534 | Veronica Grace Lebeau-bushee | Counselor | 34 Salem End Rd Apt 19b, Framingham, MA 01702-2490 | 2020-10-12 |
| 1558969840 | Revive Counseling and Wellness Center | Counselor | 388 Pleasant St Ste 201a, Malden, MA 02148-8143 | 2020-10-09 |
| 1215544507 | James Piantedosi | Counselor | 273 Middle St, Braintree, MA 02184-4822 | 2020-09-30 |
| 1447867916 | Christopher Jones | Counselor | 82 Graham St, Gardner, MA 01440-3858 | 2020-09-28 |
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JESSICA ROSE BURGESS-WISE.
| 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.