ANDREA JACOBSON (NPI# 1639398944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639398944 |
| Entity Type | Individual |
| Full Name | ANDREA JACOBSON |
| Credential | BS |
| Practice Address |
625 W Washington Ave Madison WI 53703-2637 |
| Practice Telephone | 6082802700 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11524 | WI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
508 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518115302 | Andrea Jacobson | Psychiatry & Neurology | 255 Canyon Blvd Ste 300, Boulder, CO 80302-4954 | 2008-09-04 |
| 1881090165 | Andrea Lauren Jacobson | Occupational Therapist | 1063 Haywood Rd, Asheville, NC 28806 | 2014-11-13 |
| Street Address |
625 W WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396798914 | Jantina R Vonk | Psychiatry & Neurology | 625 W Washington Ave, Madison, WI 53703-2637 | 2006-05-17 |
| 1982057428 | Christen Leigh Starke | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-07-20 |
| 1740633726 | Emre Umucu | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-07-14 |
| 1215387162 | Anne-marie Kiera' Westenberg | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-06-21 |
| 1023466554 | Laurinda S Wittenhagen | Social Worker | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-05-25 |
| 1215385737 | Dechen Wangmo | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-05-25 |
| 1407202179 | Kelsey Telega | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-05-11 |
| 1629423645 | Jacob Salwolke | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-04-27 |
| 1801241823 | Amanda Terrinoni | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-04-27 |
| 1316306632 | Justin Burton | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
| 1811522253 | Sandra Bruno | Counselor | 102 Wesly Clark Blvd, Madison, AL 35756-4028 | 2020-03-05 |
| 1750915047 | Marina Macgillivray | Counselor | 2009 E Dayton St, Madison, WI 53704-4720 | 2020-02-26 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1851954713 | Michael Allen Hetts | Counselor | Madison East Ctc, 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-04-17 |
| 1205333671 | Michele Lee Nusker | Counselor | 1733 Stirling Rd, Madison, OH 44057-2030 | 2018-04-11 |
| 1609378546 | Impact Behavioral Counseling LLC | Counselor | 20 Hughes Rd Ste 101-b, Madison, AL 35758-2237 | 2018-03-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1669837498 | Gregory Cox | Counselor | 313 Price Pl Ste 101, Madison, WI 53705-3262 | 2015-12-21 |
| Find all providers in MADISON | ||||
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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.