JESSICA D WONG (NPI# 1639545296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639545296 |
| Entity Type | Individual |
| Full Name | JESSICA D WONG |
| Credential | LPC, MA |
| Practice Address |
700 Centre Ave Fort Collins CO 80526-2023 |
| Mailing Address |
4856 Innovation Dr Ste B Fort Collins CO 80525-5540 |
| Practice Telephone | 9704944200 |
| Mailing Telephone | 9704944200 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0013464 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125324 | Jessica Wong | Behavior Technician | 7873 Sw 34th Ter, Miami, FL 33155-3522 | 2020-08-18 |
| 1639718786 | Jessica Wong | Physical Therapist | 36 Still Beach Ct, Sacramento, CA 95831-5568 | 2020-01-06 |
| 1326697855 | Jessica Carol-macias Wong | Registered Nurse | 15358 San Bruno Dr, La Mirada, CA 90638-5727 | 2019-09-06 |
| 1629622576 | Jessica Johanna Nalani Wong | Social Worker | 86-082 Farrington Hwy, Waianae, HI 96792-3084 | 2019-07-29 |
| 1013492552 | Jessica Wong | Pharmacist | 2268 Oceanside Way, San Leandro, CA 94579-2786 | 2018-10-01 |
| 1972058030 | Jessica Wong | Occupational Therapist | 94 Richboro Newtown Rd, Newtown, PA 18940-1538 | 2016-08-18 |
| 1538320759 | Jessica Lynn Wong | Registered Nurse | 8712 Nw 14th Ave, Vancouver, WA 98665-6910 | 2008-06-20 |
| 1568073120 | Jessica Wong | Student in an Organized Health Care Education/Training Program | 1985 Zonal Ave, Los Angeles, CA 90089-5305 | 2020-08-16 |
| 1265054597 | Jessica Wong | Pharmacist | 281 1st Ave, New York, NY 10003-2925 | 2020-05-08 |
| 1922646694 | Jessica Wong | Pharmacist | 1270 Broadway, New York, NY 10001-3211 | 2019-12-12 |
| Street Address |
700 CENTRE AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089883 | Roshan Fair | Counselor | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2006-03-31 |
| 1427657030 | Morgan Nicole Melton | Counselor | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2020-10-23 |
| 1851909477 | Angela Conly | Counselor | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2020-07-20 |
| 1801417084 | Summitstone Health Partners | Clinic/Center | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2020-04-29 |
| 1174155493 | Ashleigh Jones | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2020-02-05 |
| 1255961082 | Deborah Chen | Counselor | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2020-01-21 |
| 1659917110 | Leah Marie Parker | Registered Nurse | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-11-20 |
| 1730723347 | Jonathon Leigh Dean | Case Manager/Care Coordinator | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-11-06 |
| 1306488846 | Corina Haley Miller | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-10-16 |
| 1497396329 | Natalie Jacquez Quinones | Counselor | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978452 | Indepth Therapy, LLC | Counselor | 3307 S College Ave Unit 217, Fort Collins, CO 80525-4196 | 2020-09-25 |
| 1639797988 | Brittany Alley | Counselor | 120 S Bryan Ave Apt 4, Fort Collins, CO 80521-2366 | 2020-07-13 |
| 1962021501 | Cheri Fisher | Counselor | 105 Peterson St, Fort Collins, CO 80524-2917 | 2020-04-14 |
| 1467003350 | Shanna Tipton | Counselor | 924 Glenmoor Dr, Fort Collins, CO 80521-3208 | 2019-09-23 |
| 1114577087 | Rachel Ann Grohs | Counselor | 4025 Automation Way Ste 2, Fort Collins, CO 80525-3446 | 2019-09-12 |
| 1275091118 | Cameron Butler | Counselor | 144 N Mason St Unit 6, Fort Collins, CO 80524-7103 | 2019-03-11 |
| 1710455217 | Amy Lyn Davies | Counselor | 2726 Illinois Dr Apt 203, Fort Collins, CO 80525-3689 | 2018-11-02 |
| 1700378908 | Savannah Rose Cormier | Counselor | 375 E Horsetooth Rd Bldg 3101, Fort Collins, CO 80525 | 2018-06-04 |
| 1649789264 | Jennifer Kelley | Counselor | 1507 Riverside Ave Ste 202, Fort Collins, CO 80524-4382 | 2017-09-26 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on JESSICA D WONG.
| 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.