DR. JESSICA PENA (NPI# 1578807749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578807749 |
| Entity Type | Individual |
| Full Name | DR. JESSICA PENA |
| Credential | PH.D. M.S. MED LPCA |
| Practice Address |
2805 Millwood Ave Columbia SC 29205-1298 |
| Practice Telephone | 8034065442 |
| Mailing Telephone | 8034065442 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2016-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5726 | SC | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 5726 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC | 5726 | 01 |
| SC | LP | 5723 | 01 |
| SC | PS1420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174168116 | Jessica Michelle Pena | Physical Therapy Assistant | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2019-11-13 |
| 1013415421 | Jessica Pena | Behavior Technician | 27720 Jefferson Ave Ste 150, Temecula, CA 92590-2630 | 2018-01-31 |
| 1003240136 | Jessica Pena | Counselor | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2013-08-26 |
| 1639514912 | Jessica Pena | Case Manager/Care Coordinator | 4343 W Flagler St Ste 100, Coral Gables, FL 33134-1585 | 2013-05-01 |
| 1235490459 | Jessica M Pena | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2012-06-05 |
| 1336196435 | Jessica Pena | Internal Medicine | 1825 Eastchester Rd, Cardiology Administration, Bronx, NY 10461-2301 | 2006-05-27 |
| Street Address |
2805 MILLWOOD AVE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-1298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893009 | Diabetic Supply Source, Inc Dba Dss Medical | Durable Medical Equipment & Medical Supplies | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2006-06-28 |
| 1447864798 | Chayah Stoneberg | Social Worker | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2020-09-03 |
| 1689298531 | Mary Etta Castles | Behavioral Analyst | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2020-06-05 |
| 1801426473 | Olivia Adrianna Sitton | Counselor | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2020-01-22 |
| 1659911808 | Sara Pitt Plowden | Counselor | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2020-01-15 |
| 1689224800 | Kiaya Aki Demonbreun | Counselor | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2019-09-19 |
| 1457817520 | Ayanna Mcneil | Counselor | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2019-02-13 |
| 1669944567 | Maryann Cruz | Counselor | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2018-12-18 |
| 1447721022 | Kathryn Linich | Counselor | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2018-12-07 |
| 1457652786 | Laly Jannette Rodriguez | Counselor | 2805 Millwood Ave, Thriveworks Counseling and Life Coaching, Columbia, SC 29205-1298 | 2010-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1033722871 | Laine Jones | Counselor | 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 | 2020-08-30 |
| 1952914988 | Oprah Ingram | Counselor | 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 | 2020-08-28 |
| 1093339897 | Bryant Rogers | Counselor | 2 Hempstead Pl, Columbia, SC 29229-7762 | 2020-06-08 |
| 1821627498 | Christi Stewart | Counselor | 1809 Atascadero Dr, Columbia, SC 29206-1413 | 2020-04-06 |
| 1316577299 | Chandra Hope Mossine | Counselor | 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 | 2020-01-20 |
| 1871132233 | Patricia Dudley | Counselor | 6659 Buckstone Ct, Columbia, MD 21044-4103 | 2020-01-03 |
| 1871139790 | James Roland Blucher | Counselor | 10545 Jason Ln, Columbia, MD 21044-2212 | 2019-11-26 |
| Find all providers in COLUMBIA | ||||
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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.