MRS. JESSICA JEAN DEBOER (NPI# 1619366622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619366622 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA JEAN DEBOER |
| Practice Address |
12501 North State Road 49 Wheatfield IN 46392 |
| Mailing Address |
13204 Forestdale Street Cedar Lake IN 46303 |
| Practice Telephone | 2199563125 |
| Mailing Telephone | 2192187108 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
12501 NORTH STATE ROAD 49 |
| City | WHEATFIELD |
| State | IN |
| Zip Code | 46392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439850 | Tiffany Conley | Specialist/Technologist | 1424 E 1275 N, Wheatfield, IN 46392 | 2015-06-11 |
| 1851570261 | Franklin-mccallister | Home Health | 25 S Pearl St, Wheatfield, IN 46392 | 2007-11-01 |
| 1487779138 | Kankakee Vallley School Corporation | Local Education Agency (LEA) | 12021 North 550 West, Wheatfield, IN 46392 | 2007-03-20 |
| 1891704342 | Wheatfield Ambulance Service | Ambulance | 490 E Grove St, Wheatfield, IN 46392 | 2006-08-05 |
| 1457317786 | Jasper County Hospital | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392 | 2006-04-25 |
| 1306038559 | Kankakee Valley School Corporation | Local Education Agency (LEA) | 12021 North 550 West, Wheatfield, IN 46392 | 2007-08-13 |
| 1801173349 | Kathleen Kleefisch | Nurse Practitioner | 492s Bierma St, Wheatfield, IN 46392-6004 | 2011-11-11 |
| 1578084240 | Heather Lynn Stokes | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2017-07-03 |
| 1316327364 | Franciscan Health Rensselaer, Inc. | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2015-06-04 |
| 1063756138 | Erin A Husch | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2012-11-15 |
| Find all providers in zip 46392 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609931062 | Claud Randall Schrock | Counselor | 12501 N State Road 49, Wheatfield, IN 46392-8986 | 2006-12-26 |
| 1942670732 | Vanessa Carroll | Counselor | 12501 N State Road 49, Wheatfield, IN 46392-8986 | 2015-10-06 |
| 1326437682 | Tracina Cross | Counselor | 12501 N State Road 49, Wheatfield, IN 46392-8986 | 2015-01-09 |
| 1598046492 | Christian Haven, Inc. | Counselor | 12501 N State Road 49, Wheatfield, IN 46392-8986 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124648 | Sedonia Counseling Services, LLC | Counselor | 10812 Cardinal Cir, Plymouth, IN 46563-7968 | 2020-11-02 |
| 1902406747 | Abigail A Campbell | Counselor | 2660 Sea Biscuit Ln, Kokomo, IN 46901-5093 | 2020-10-30 |
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1902404619 | Dana Lynn Samardzich | Counselor | 439 Scarborough Rd, Valparaiso, IN 46385-8008 | 2020-10-14 |
| 1326646647 | Elizabeth Labriola | Counselor | 1406 E Joliet St, Crown Point, IN 46307-4724 | 2020-10-09 |
| 1518564335 | Samantha Carter | Counselor | 5532 Wegg Ave, East Chicago, IN 46312-3941 | 2020-10-05 |
| 1215534037 | Jonathan Royce Vandervlugt | Counselor | 9614 Granada Ct Apt 111, Crown Point, IN 46307-2161 | 2020-10-05 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1629685011 | Miosha Williams | Counselor | 7434 Whitcomb St Apt C, Merrillville, IN 46410-4491 | 2020-09-29 |
| 1720695273 | Sunnie Allen | Counselor | 498 Nw 18th St Bldg 417, Richmond, IN 47374-2851 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WHEATFIELD |
| Zip Code | 46392 |
Please comment or provide details below to improve the information on MRS. JESSICA JEAN DEBOER.
| 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.