JERRY V RIDGE (NPI# 1447482237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447482237 |
| Entity Type | Individual |
| Full Name | JERRY V RIDGE |
| Credential | MADAC |
| Practice Address |
7 Line Rd Laurel MS 39443-2663 |
| Practice Telephone | 6017051901 |
| Mailing Telephone | 6017051901 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AD01R-019R | MS | Behavioral Health & Social Service Providers |
| Street Address |
7 LINE RD |
| City | LAUREL |
| State | MS |
| Zip Code | 39443-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558713511 | Calhoun Medical Clinic, LLC | Family Medicine | 5135 Hwy 84w, Laurel, MS 39443 | 2016-07-01 |
| 1699154005 | Rachel Peterson | Speech-Language Pathologist | 2740 Pleasant Grove Rd, Laurel, MS 39443 | 2015-05-19 |
| 1114007994 | Marsha Myrick Sanders | Pharmacist | 15 Lakeshore Dr, Laurel, MS 39443 | 2006-10-16 |
| 1770068637 | Happy Feet | Nursing Care | 614 Chippewah Dr, Laurel, MS 39443 | 2018-09-26 |
| 1487261087 | William Andrew Harrelson | Student in an Organized Health Care Education/Training Program | 215 Union Line Rd, Laurel, MS 39443-0772 | 2020-09-28 |
| 1578634127 | Jones County School | Clinic/Center | 990 Highway 15 S, Laurel, MS 39443-0801 | 2006-11-13 |
| 1942689351 | Brittany Bell | Speech-Language Pathologist | 22 Bell Rd, Laurel, MS 39443-0921 | 2015-05-19 |
| 1396144135 | Lydia Michelle Walters | Nurse Practitioner | 30 Bullock Rd, Laurel, MS 39443-0956 | 2014-08-18 |
| 1780816553 | Janet Powell Mcmillan | Nurse Practitioner | 69 Watertank Rd, Laurel, MS 39443-2954 | 2009-08-12 |
| 1922293364 | Theresa Mann | Respiratory Therapist, Registered | 73 Glade Circle Dr, Laurel, MS 39443-4722 | 2007-09-10 |
| Find all providers in zip 39443 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275898751 | Odelia Muir | Counselor | 13184 Larchdale Rd, Apt #6, Laurel, MD 20708-1707 | 2012-07-10 |
| 1346574282 | Reflections Clinical Counseling, LLC | Counselor | 13 C St Ste C, Laurel, MD 20707-4152 | 2009-09-24 |
| 1326174699 | Kathy Guthrie | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2007-02-23 |
| 1912049719 | Rosalind Serena Rose | Counselor | 1615 Pheasant Brook Circle, Suite 2, Laurel, MT 59044-9314 | 2007-02-12 |
| 1902957319 | Counseling Services, Inc. | Counselor | 150 Washington Blvd S Fl 2, Laurel, MD 20707-4328 | 2007-01-13 |
| 1295225761 | Bk Behavioral Health Center | Counselor | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707-4958 | 2018-05-10 |
| 1437602588 | American Center for Intellectual and Diverse Disorders for Counseling | Counselor | 300 Thomas Dr, Suite A, Laurel, MD 20707-4700 | 2016-07-25 |
| 1073932380 | Julie Mcmillin | Counselor | 319 1st Ave, Laurel, MT 59044-3031 | 2014-04-15 |
| 1356602528 | Sharon M Bell | Counselor | 413 Main Street, Laurel, MD 20707 | 2012-06-05 |
| 1295094597 | Reflections Clinical Counseling, Lcc | Counselor | 13 C St, Suite C, Laurel, MD 20707-4152 | 2012-05-08 |
| Find all providers in LAUREL | ||||
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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.