MR. JESSE PATRICK WALTZ (NPI# 1619313988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619313988 |
Entity Type | Individual |
Full Name | MR. JESSE PATRICK WALTZ |
Credential | MAED, LMFT |
Practice Address |
750 Shoreline Dr Suite 150 Aurora IL 60504-6184 |
Practice Telephone | 6305851853 |
Practice Fax Number | 6305851956 |
Mailing Telephone | 6305851853 |
Mailing Fax Number | 6305851956 |
Enumeration Date | 2013-05-14 |
Last Update Date | 2013-05-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 0765 | KY | Behavioral Health & Social Service Providers |
Street Address |
750 SHORELINE DR SUITE 150 |
City | AURORA |
State | IL |
Zip Code | 60504-6184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
Find all providers in zip 60504 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639708415 | Olga Berezenko | Marriage & Family Therapist | 6750 N Dunkirk St, Aurora, CO 80019-2107 | 2020-04-03 |
1598292294 | Halley Jaynes-fournier | Marriage & Family Therapist | 15944 E Rice Pl Apt A, Aurora, CO 80015-6925 | 2017-05-12 |
1285165753 | Jacqueline Bess | Marriage & Family Therapist | 2518 S Biscay Ct, Aurora, CO 80013-6412 | 2017-03-25 |
1255879961 | Tania Yvonne Morris | Marriage & Family Therapist | 2597 S Truckee Way, Aurora, CO 80013-5925 | 2017-02-02 |
1942677406 | Ashley Uchiyama | Marriage & Family Therapist | 15096 E Grand Ave, Aurora, CO 80015-2173 | 2015-08-31 |
1063801058 | Melinda Sigle | Marriage & Family Therapist | 19316 E Lasalle Pl, Aurora, CO 80013-7700 | 2015-01-14 |
1295164861 | Georgia C Lundgren | Marriage & Family Therapist | 438 Oswego St, Aurora, CO 80010-4754 | 2013-11-05 |
1497038400 | Ronnie Vasquez | Marriage & Family Therapist | 2821 S Parker Rd Ste 159, Aurora, CO 80014-2743 | 2011-09-26 |
1881921021 | Michael Adam Stern | Marriage & Family Therapist | 1550 S Potomac St Ste 133, Aurora, CO 80012-5442 | 2009-11-09 |
1740517135 | Jennifer Marie Kempfert | Marriage & Family Therapist | 2206 Victor Street, Aurora, CO 80045 | 2009-11-06 |
Find all providers in AURORA |
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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.