MS. JESSICA ANN EBERLY (NPI# 1467749382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467749382 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANN EBERLY |
| Credential | MS, LPC |
| Practice Address |
483 Century Ln Holland MI 49423-4286 |
| Practice Telephone | 6163965284 |
| Mailing Telephone | 6165661980 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401011030 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184744484 | Jessica Anne Eberly | Specialist/Technologist | 329 Mullet Run, Milford, DE 19963-5373 | 2007-03-30 |
| Street Address |
483 CENTURY LN |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144207200 | Ottagan Addictions Recovery, Inc. | Public Health or Welfare | 483 Century Ln, Holland, MI 49423-4286 | 2005-12-29 |
| 1508484700 | Nicole M Betterly | Counselor | 483 Century Ln, Holland, MI 49423-4286 | 2020-07-14 |
| 1689212862 | Lara Dewitt | Counselor | 483 Century Ln, Holland, MI 49423-4286 | 2019-12-18 |
| 1548812266 | Anna Margaret O'rourke | Social Worker | 483 Century Ln, Holland, MI 49423-4286 | 2019-07-12 |
| 1871088930 | Marcy Elaine Vander Meer | Social Worker | 483 Century Ln, Holland, MI 49423-4286 | 2018-06-29 |
| 1275049918 | Thom Daubenspeck | Social Worker | 483 Century Ln, Holland, MI 49423-4286 | 2017-12-18 |
| 1578092078 | Elizabeth Marie Delreal | Social Worker | 483 Century Ln, Holland, MI 49423-4286 | 2017-06-08 |
| 1891187175 | Kyle Boer | Social Worker | 483 Century Ln, Holland, MI 49423-4286 | 2015-02-24 |
| 1346663150 | Sara Duhr | Social Worker | 483 Century Ln, Holland, MI 49423-4286 | 2014-01-30 |
| 1326330754 | Jenna Voss | Social Worker | 483 Century Ln, Holland, MI 49423-4286 | 2011-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211413 | Marie J Hendricks | Counselor | 907 Bennett Pl, Holland, PA 18966-2636 | 2020-09-29 |
| 1649749425 | Beach Counseling, LLC | Counselor | 675 E 16th St Ste 45, Holland, MI 49423-5807 | 2018-11-21 |
| 1417438946 | Samantha Elaine Byrne | Counselor | 607 Kitlou Ct, Holland, OH 43528-9170 | 2018-08-23 |
| 1851827265 | Terry Hites | Counselor | 7015 Spring Meadows West, Suite 102, Holland, OH 43528 | 2017-05-04 |
| 1437603750 | Steven Crawley | Counselor | 16382 James St, Holland, MI 49424-6051 | 2016-08-04 |
| 1225495765 | Ashton Campbell | Counselor | 259 Hoover Blvd Ste 140, Holland, MI 49423-3790 | 2016-01-27 |
| 1639598618 | Ilona Naroditskiy, LLC | Counselor | 130 Buck Rd Ste 201a2, Holland, PA 18966-1743 | 2014-04-07 |
| 1740557537 | Katrina Joy Meyer | Counselor | 14241 Rose Park Dr, Holland, MI 49424-1663 | 2011-11-21 |
| 1508157587 | Kristen Marie Hunsberger | Counselor | 194 1/2 S River Ave, Holland, MI 49423-3174 | 2011-04-26 |
| 1457545162 | Michael T. Mcmahon | Counselor | 12233 S Crystal Waters Dr Unit 8, Holland, MI 49424-7255 | 2007-09-05 |
| Find all providers in HOLLAND | ||||
Please comment or provide details below to improve the information on MS. JESSICA ANN EBERLY.
| 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.