MR. JARED JOCKUMSEN (NPI# 1487056537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487056537 |
| Entity Type | Individual |
| Full Name | MR. JARED JOCKUMSEN |
| Credential | LSW |
| Practice Address |
809 N Arthur Ave Pocatello ID 83204-2803 |
| Practice Telephone | 2082334634 |
| Practice Fax Number | 2082334635 |
| Mailing Telephone | 2082334634 |
| Mailing Fax Number | 2082334635 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
32377 | ID | Behavioral Health & Social Service Providers |
| Street Address |
809 N ARTHUR AVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447683792 | Cassia Morton | Counselor | 809 N Arthur Ave, Pocatello, ID 83204-2803 | 2013-08-09 |
| 1295354355 | Kelly Lynn Chatterton | Counselor | 809 N Arthur Ave, Pocatello, ID 83204-2803 | 2020-04-09 |
| 1205233061 | Rosemary Demeter-gietzen | Social Worker | 809 N Arthur Ave, Pocatello, ID 83204-2803 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205318813 | Alyssa Robles | Social Worker | 8732 W Pine Valley Ln, Boise, ID 83709-0020 | 2018-08-30 |
| 1801428917 | Northwest Children's Home | Social Worker | 602 13th St, Lewiston, ID 83501-2586 | 2020-02-06 |
| 1104471002 | Robert Thompson Thayer | Social Worker | 250 S Main St, Payette, ID 83661-2853 | 2019-08-07 |
| 1306310784 | Sydney Stringer | Social Worker | 921 S Orchard St Ste 103, Boise, ID 83705-1916 | 2019-01-18 |
Please comment or provide details below to improve the information on MR. JARED JOCKUMSEN.
| 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.