JILL ELYSE GAUKSTERN (NPI# 1437568334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437568334 |
| Entity Type | Individual |
| Full Name | JILL ELYSE GAUKSTERN |
| Credential | LPCA |
| Practice Address |
1615 Polo Rd Winston Salem NC 27106-3831 |
| Practice Telephone | 3367227266 |
| Mailing Telephone | 3367227266 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A11031 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1615 POLO RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427034768 | Christopher Bruns Aiken | Psychiatry & Neurology | 1615 Polo Rd, Winston Salem, NC 27106-3859 | 2005-12-19 |
| 1386206654 | Tina Long Spach | Social Worker | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2019-07-08 |
| 1588159834 | Esther Simone Suess | Counselor | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2018-06-28 |
| 1336632009 | Bethany Godwin | Counselor | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2018-06-07 |
| 1740782507 | Rebecca Stevens | Counselor | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2018-03-07 |
| 1417495458 | Lindsay Reynolds | Social Worker | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2017-02-10 |
| 1649718180 | Kellie Newsome | Registered Nurse | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2017-02-04 |
| 1598213993 | Kelly Welch Joyce | Counselor | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2016-09-14 |
| 1053798694 | Valerie Vestal | Nurse Practitioner | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2015-05-04 |
| 1053737148 | Anna Leisa Sauser | Counselor | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332476 | Tramaine King | Counselor | 3570 Vest Mill Rd Ste H, Winston Salem, NC 27103-2963 | 2020-10-01 |
| 1285267724 | B Balanced Counseling & Wellness, Pllc | Counselor | 939 Burke St Ste F, Winston Salem, NC 27101-2575 | 2020-02-12 |
| 1306482674 | Allison Grace Alford | Counselor | 8007 N Point Blvd Ste 209, Winston Salem, NC 27106-3268 | 2019-11-21 |
| 1609417468 | The Well Mind, Pllc | Counselor | 213 W 6th St Ste 6, Winston Salem, NC 27101-2901 | 2019-10-03 |
| 1619455797 | Nancy Stacy Hodges | Counselor | 1959 N Peace Haven Rd, Winston Salem, NC 27106-4850 | 2018-08-01 |
| 1326526732 | Anna Kathleen Fleig | Counselor | 983 Mar Don Dr, Winston Salem, NC 27104-4624 | 2018-07-30 |
| 1710478441 | Narissa D Huntley | Counselor | 1396 Old Mill Cir Ste 206, Winston Salem, NC 27103-2957 | 2018-05-29 |
| 1174022966 | Patrick Sal Ide | Counselor | 1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC 27107-1361 | 2018-02-07 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1275070179 | Helen Humphrey | Counselor | 104 Cambridge Plaza Dr, Winston Salem, NC 27104-3556 | 2017-01-30 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.