JILL CONRAD (NPI# 1568598233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568598233 |
| Entity Type | Individual |
| Full Name | JILL CONRAD |
| Credential | MHC |
| Practice Address |
412 State Route 37 Akwesasne NY 13655-3109 |
| Practice Telephone | 5183583141 |
| Practice Fax Number | 5183589175 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000586 | NY | Behavioral Health & Social Service Providers |
| Street Address |
412 STATE ROUTE 37 |
| City | AKWESASNE |
| State | NY |
| Zip Code | 13655-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344558 | St Regis Mohawk Tribe | Clinic/Center | 412 State Route 37, Akwesasne, NY 13655-3109 | 2005-08-24 |
| 1003253428 | Deborah A Fent | Dental Hygienist | 412 State Route 37, Akwesasne, NY 13655-3109 | 2013-05-24 |
| 1659521052 | St Regis Mohawk Tribe | Substance Abuse Rehabilitation Facility | 412 State Route 37, Akwesasne, NY 13655-3109 | 2008-09-23 |
| 1952573164 | Ellen Maxine Cook Barnes | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2008-03-27 |
| 1053432195 | St Regis Mohawk Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-04-03 |
| 1558497321 | Alexandra Marie Cook | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-02-26 |
| 1508920430 | Thomas Albert Saxby | Pharmacist | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-22 |
| 1700940632 | Brian Wayne Bond | Pharmacist | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-22 |
| 1790849800 | Christine L. Venery | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-21 |
| 1255495230 | Anita M. Plann | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651946 | Elizabeth Marie Eggleston | Social Worker | Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 | 2020-05-28 |
| 1093206732 | Heather Marie Pontius | Dietitian, Registered | 378 State Route 37, Hogansburg, NY 13655 | 2018-05-29 |
| 1548400690 | Melissa Ann Dalton | Technician/Technologist | 155 State Route 37, Hogansburg, NY 13655 | 2009-03-03 |
| 1730329848 | Barbara George | Technician/Technologist | 346 St.regis Road, Akwesasne, NY 13655 | 2009-03-02 |
| 1225183577 | Hillary Jill Pyke | Optometrist | 997 State Rte 37, Hogansburg, NY 13655 | 2007-01-25 |
| 1871663294 | Katherine R Henderson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2006-11-09 |
| 1538783220 | Trish D Keese | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1265056956 | Connie M Thompson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1457975138 | Brittany L Benedict | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1063035582 | Saint Regis Mohawk Tribe | Health Educator | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-19 |
| Find all providers in zip 13655 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952573164 | Ellen Maxine Cook Barnes | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2008-03-27 |
| 1558497321 | Alexandra Marie Cook | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-02-26 |
| 1790849800 | Christine L. Venery | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
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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.