MRS. JODY ELLEN VERNAM


Address: 107 Breckenridge Street, Suite 3, Grove City, PA 16127-1025
Phone: 7244584990

MRS. JODY ELLEN VERNAM (NPI# 1427194398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427194398
Entity Type Individual
Full Name MRS. JODY ELLEN VERNAM
Credential LICENSED PROFESSIONA
Practice Address 107 Breckenridge Street
Suite 3
Grove City
PA 16127-1025
Practice Telephone 7244584990
Practice Fax Number 8557750514
Mailing Telephone 7244584990
Mailing Fax Number 8557750514
Enumeration Date 2007-01-29
Last Update Date 2012-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor PC004344 PA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
PC004344 PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA HIGHMARK 1973158 01
PA 102297262 05

Office Location

Street Address 107 BRECKENRIDGE STREET
SUITE 3
City GROVE CITY
State PA
Zip Code 16127-1025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235309949 Vernam Counseling Services, LLC Clinic/Center 107 Breckenridge Street, Suite 3, Grove City, PA 16127-1025 2008-03-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659907079 Elaine Black Timko Counselor 113d North Broad Street, Grove City, PA 16127 2020-03-17
1457898082 Jeffrey Ewell Scott Speech-Language Pathologist 435 Broad Street, Grove City, PA 16127 2017-01-20
1053651745 Delta Foot and Ankle Center, LLC Podiatrist 247 N Broad Street Ext, Suite 204, Grove City, PA 16127 2013-02-18
1770786451 Angela Dee Wells Speech-Language Pathologist 120 South Broad Street, Suite A, Grove City, PA 16127 2007-06-08
1780705202 Cynthia Ann Ellermeyer Speech-Language Pathologist Grove City Medical Center, 631 North Broad St Ext, Grove City, PA 16127 2007-04-02
1083738884 George Junior Republic In Pennsylvania Community Based Residential Treatment Facility, Mental Illness 233 George Junior Road, Grove City, PA 16127 2007-03-19
1932264058 Alotad, Inc. Durable Medical Equipment & Medical Supplies 49 Pine Grove Pl., Grove City, PA 16127 2006-12-27
1396818233 Thomas William Lah Dentist 1235 South Center S. Ext, Suite 935, Grove City, PA 16127 2006-11-16
1275619777 Donald Harold Wykoff Psychologist 1049 Slippery Rock Rd, Grove City, PA 16127 2006-10-27
1336235100 James W Eaton II Dentist 407 N Broad St, Grove City, PA 16127 2006-10-05
Find all providers in zip 16127

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316402845 Kristina Wojcik Counselor 5665 Hoover Road, Grove City, OH 43123 2019-02-08
1912300047 Brenda Hinton Counselor 2825 Oak Forest Dr, Grove City, OH 43123-4738 2014-10-03
1013918390 Christa J. Brahler Counselor 107 Breckenridge St, Grove City, PA 16127-1003 2005-08-09
1629676705 Madea Carpenter Counselor 5665 Hoover Rd, Grove City, OH 43123-9280 2020-10-12
1801402110 Breanna Oltmanns Counselor 5665 Hoover Rd, Grove City, OH 43123-9280 2020-09-22
1396350831 Alex Giovanni Goode Sr. Counselor 5665 Hoover Rd, Grove City, OH 43123-9122 2020-09-11
1871102517 Tyree Smith Counselor 5665 Hoover Rd, Grove City, OH 43123-9280 2020-07-29
1447874045 Asha Abdulle Counselor 5665 Hoover Rd, Grove City, OH 43123-9122 2020-05-31
1992329577 Emily Kibler Counselor 5665 Hoover Rd, Grove City, OH 43123-9122 2020-05-30
1154945749 Patrice Wilson Counselor 5665 Hoover Rd, Grove City, OH 43123-9122 2020-05-30
Find all providers in GROVE CITY

Competitor

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City GROVE CITY
Zip Code 16127

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Dataset Information

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.

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