MR. CODY JAQUES (NPI# 1659734309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659734309 |
| Entity Type | Individual |
| Full Name | MR. CODY JAQUES |
| Credential | M.S, LPCC |
| Practice Address |
1114 Shannon Ln Xenia OH 45385-2788 |
| Practice Telephone | 9376818322 |
| Mailing Telephone | 9376818322 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | C.1600143-TRNE | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.1901498 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1114 SHANNON LN |
| City | XENIA |
| State | OH |
| Zip Code | 45385-2788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689219008 | Ashley Marie Mosher | Registered Nurse | 1728 Dayton Xenia Road, Xenia, OH 45385 | 2019-11-08 |
| 1255892824 | Hart Behavior Group LLC | Behavioral Analyst | 1690 Kingsway Dr, Xenia, OH 45385 | 2019-03-27 |
| 1053814996 | Briana Creamer | Community/Behavioral Health | 673 Sutton Dr, Xenia, OH 45385 | 2018-03-16 |
| 1174031769 | Maggie Ann Weyandt | Social Worker | 380 Bellbrook Ave., Xenia, OH 45385 | 2018-01-17 |
| 1588116362 | Te Carr | Specialist/Technologist | 1200 Us 42 E, Xenia, OH 45385 | 2016-10-27 |
| 1649678400 | Crystal Misner | Occupational Therapy Assistant | 1694 Pawnee Drive, Xenia, OH 45385 | 2014-12-10 |
| 1750627345 | Claudette May Ross | Registered Nurse | 2301 Dundee Drive, Dayton, OH 45385 | 2012-12-31 |
| 1578868386 | Traditions At Xenia | Assisted Living Facility | 695 Wycliffe Dr, Xenia, OH 45385 | 2011-01-26 |
| 1851624720 | Robert T Morrison Md LLC | Internal Medicine | 215 S. Allison Ave., Xenia, OH 45385 | 2009-09-10 |
| 1790945186 | Tracey D Hacker | Licensed Practical Nurse | 1896 Pueblo Dr, Xenia, OH 45385 | 2008-06-10 |
| Find all providers in zip 45385 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750897641 | Jimmy L Powers Jr. | Counselor | 608 Kennedy St, Xenia, OH 45385-5627 | 2017-12-14 |
| 1083132328 | Jaime Michelle Lennon | Counselor | 380 Bellbrook Ave, Xenia, OH 45385-3638 | 2017-09-07 |
| 1356876619 | Cherie Lynn Dixon | Counselor | 380 Bellbrook Ave, Xenia, OH 45385-3638 | 2017-04-25 |
| 1952747552 | Frederick Arrow | Counselor | 452 W Market St, Xenia, OH 45385-2815 | 2013-05-22 |
| 1932545530 | Lorey Simons | Counselor | 452 W Market St, Xenia, OH 45385-2815 | 2013-05-22 |
| 1134438401 | Mary Brugger | Counselor | 452 W Market St, Xenia, OH 45385-2815 | 2010-10-04 |
| 1134381478 | Heidi B. Bruner | Counselor | 287 Cincinnati Ave, Xenia, OH 45385-5071 | 2008-06-27 |
| 1548430127 | Tiffany Combs | Counselor | 452 W Market St, Xenia, OH 45385-2815 | 2008-03-10 |
| 1083794663 | Robin Adams | Counselor | 452 W Market St, Xenia, OH 45385-2815 | 2006-10-17 |
| 1538259239 | Sandra Keen | Counselor | 452 W Market St, Xenia, OH 45385-2815 | 2006-10-13 |
| Find all providers in XENIA | ||||
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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.