JESSICA ELLIOTT (NPI# 1427454453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427454453 |
| Entity Type | Individual |
| Full Name | JESSICA ELLIOTT |
| Credential | MA, CAGS, LCDP |
| Practice Address |
1052 Park Ave Cranston RI 02910-3225 |
| Practice Telephone | 4017149526 |
| Mailing Telephone | 4017149526 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00462 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
| 1013259795 | Jessica Alexis Elliott | Speech-Language Pathologist | 2337 Nw 159th Ter, Edmond, OK 73013-7311 | 2013-03-20 |
| 1578828950 | Jessica Dawn Elliott | Nurse's Aide | 18633 Love Rd, Fredericktown, OH 43019-9754 | 2012-07-11 |
| 1518075316 | Jessica L Elliott | Speech-Language Pathologist | 107 E Harrison St, Brunswick, MO 65236 | 2006-08-29 |
| 1669018735 | Jessica Elliott | Social Worker | 10690 Ne Cornell Rd Ste 215, Hillsboro, OR 97124-9224 | 2019-11-22 |
| 1295219236 | Jessica Paige Elliott | Social Worker | 1400 Cleveland St, Greenville, SC 29607-2410 | 2018-09-15 |
| 1891215331 | Jessica Elliott | Student in an Organized Health Care Education/Training Program | 2020 26th Ave E, Bradenton, FL 34208 | 2017-06-26 |
| 1659742740 | Jessica Elliott | Pharmacy Technician | 5420 West Loop S Ste 1500, Bellaire, TX 77401-2116 | 2015-10-14 |
| 1891199519 | Jessica Elliott | Audiologist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2014-10-09 |
| 1972903607 | Jessica Ann Bombino Elliott | Physical Therapist | 1600 Pr Ctr Pkwy, Brighton, CO 80601-4006 | 2014-08-29 |
| Street Address |
1052 PARK AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731321 | Codac Inc | Clinic/Center | 1052 Park Ave, Codac Cranston, Cranston, RI 02910 | 2005-06-23 |
| 1467988683 | Codac Inc | Peer Specialist | 1052 Park Ave, Cranston, RI 02910-3225 | 2017-05-08 |
| 1497144752 | Ileana Santiago | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2015-01-09 |
| 1780082743 | Codac Behavioral Healthcare | Community/Behavioral Health | 1052 Park Ave, Cranston, RI 02910-3225 | 2014-12-08 |
| 1316196900 | Margarida A Renzi | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2008-09-18 |
| 1629249156 | Tammy Brown | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2008-03-12 |
| 1851513394 | Codac Inc | Peer Specialist | 1052 Park Ave, Cranston, RI 02910-3225 | 2007-05-03 |
| 1710109848 | Jane F Dilorenzo | Counselor | 1052 Park Ave, Cranston, RI 02910-3225 | 2007-05-02 |
| 1023043056 | Susan H Hart | Internal Medicine | 1052 Park Ave, Cranston, RI 02910-3225 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780067 | Jamie Lynn Souza | Counselor | 1257 Cranston St, Cranston, RI 02920-7315 | 2019-06-21 |
| 1669830402 | Meredith Frost | Counselor | 105 Sockanosset Cross Rd Ste 200, Cranston, RI 02920-5560 | 2016-02-08 |
| 1730550096 | Rebecca Flores | Counselor | 78 Brayton Ave, Cranston, RI 02920-3307 | 2015-10-13 |
| 1407267719 | Victoria Sue Monnett | Counselor | 14 Starline Way, Cranston, RI 02921-3409 | 2014-05-09 |
| 1609295641 | Bethany Contreras | Counselor | 40 Howard Ave, Cranston, RI 02920-3031 | 2014-04-07 |
| 1356775365 | Nikolai Blinow | Counselor | 897 Reservoir Ave, Cranston, RI 02910-4435 | 2013-08-27 |
| 1851545669 | S.t.e.p.s. | Counselor | 678 Park Ave, Suite #2, Cranston, RI 02910-2114 | 2008-11-06 |
| 1902085467 | Greater Ri Addiction Services | Counselor | 1704 Broad St, Cranston, RI 02905-2720 | 2007-10-31 |
| 1770792467 | Caritas Inc | Counselor | 1545 Pontiac Ave, Cranston, RI 02920-4407 | 2007-05-21 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| Find all providers in CRANSTON | ||||
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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.