JESSICA MATER (NPI# 1528467495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528467495 |
| Entity Type | Individual |
| Full Name | JESSICA MATER |
| Credential | SAC-IT |
| Practice Address |
9910 W Layton Ave Suite #2 Greenfield WI 53228-3363 |
| Practice Telephone | 4144274884 |
| Mailing Telephone | 4144274884 |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2014-08-17 |
| 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) |
17136-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
9910 W LAYTON AVE SUITE #2 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53228-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316165590 | Parkview Counseling Associates | Counselor | 9910 W Layton Ave, Suite 1, Greenfield, WI 53228-3363 | 2007-04-23 |
| 1760881890 | Cedar Creek Family Counseling Inc | Substance Abuse Rehabilitation Facility | 9910 W Layton Ave, Suite 2, Greenfield, WI 53228-3363 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543255 | Sonhui Edwards | Technician | 9730 W Coldspring Rd, Greenfield, WI 53228 | 2020-03-19 |
| 1710116561 | Kate Elizabeth Stolowski | Registered Nurse | 4616 S. 109th St, Greenfield, WI 53228 | 2009-07-14 |
| 1548486467 | Cynthia Denise Ireland | Physical Therapy Assistant | 3939 S 92 St, Greenfield, WI 53228 | 2007-04-18 |
| 1598800740 | Shorehaven Behavioral Health Inc | Counselor | 8405 W Forest Home Av, Suite 104, Milwaukee, WI 53228 | 2007-02-21 |
| 1194884114 | Thomas Stanley Omalley | Dentist | 8555 W Forest Home Ave, Greenfield, WI 53228 | 2006-12-06 |
| 1750468732 | Omalley Dentistry Sc | Dentist | 8555 W Forest Hm Ave, Suite 101, Greenfield, WI 53228 | 2006-11-01 |
| 1114002359 | Eileen Mary Langyel | Dentist | 3783 So 108th St, Greenfield, WI 53228 | 2006-10-26 |
| 1801998778 | William Carini Dds Sc | Dentist | 10707 W Beloit Road, Advanced Dental Treatment Center, Greenfield, WI 53228 | 2006-09-02 |
| 1497857304 | William J Carini | Dentist | 10707 W Beloit Rd, Advanced Dental Treatment Center, Green Field, WI 53228 | 2006-09-01 |
| 1609814367 | Cedar Creek Family Counseling, Inc | Counselor | 9910 W. Layton Ave, Suite 2, Greenfield, WI 53228 | 2006-06-03 |
| Find all providers in zip 53228 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889833 | Jody Lynn Pelletier | Counselor | 7 Cedar Gln, Greenfield, MA 01301-2553 | 2020-07-24 |
| 1659876746 | Cris Carl | Counselor | 1 Arch Pl Ste 3, Greenfield, MA 01301-2457 | 2018-03-29 |
| 1700385192 | Servicenet Inc | Counselor | 53 Beacon St, Greenfield, MA 01301-2004 | 2018-02-12 |
| 1285067413 | Joanna Ledvina | Counselor | 4811 S 76th St Ste 208, Greenfield, WI 53220-4352 | 2013-08-12 |
| 1780905299 | Robert Reniszewski | Counselor | 177 Shelburne Rd, Greenfield, MA 01301-9624 | 2010-06-18 |
| 1316165590 | Parkview Counseling Associates | Counselor | 9910 W Layton Ave, Suite 1, Greenfield, WI 53228-3363 | 2007-04-23 |
| 1922147719 | Terrence Brian Hoyt | Counselor | 4811 S 76, Ste 309, Greenfield, WI 53220 | 2007-02-06 |
| 1326123282 | David Paul Vogt | Counselor | 4811 S 76th Street, Greenfield, WI 53220 | 2006-10-26 |
| 1477646727 | Ellen Mary Diedrich | Counselor | 4402 S 68th St Ste 102, Greenfield, WI 53220-3479 | 2006-10-01 |
| 1801819552 | Michael Dillenburg | Counselor | 4325 S 60th St, Greenfield, WI 53220-3508 | 2006-07-25 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53228 |
Please comment or provide details below to improve the information on JESSICA MATER.
| 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.