MR. MICKEY D. JETT (NPI# 1669681029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669681029 |
| Entity Type | Individual |
| Full Name | MR. MICKEY D. JETT |
| Credential | MDIVL, MS |
| Practice Address |
Hhc, 82d Sus Bde Apo AE 09331 IQ |
| Mailing Address |
4714 Emden Hollow San Antonio TX 78247 |
| Practice Telephone | 3188331331 |
| Mailing Telephone | 2106531688 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | NBCC77094 | Behavioral Health & Social Service Providers | |
| X | 101YP1600X |
Counselor Specialization: Pastoral |
AAPC10958 | TX | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | AAMFT101247 | Behavioral Health & Social Service Providers |
| Street Address |
HHC, 82D SUS BDE |
| City | APO |
| State | AE |
| Zip Code | 09331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265647754 | Michael Ray Devries | Psychologist | Hhc 82nd Sb, Apo, AE 09331 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| Find all providers in APO | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477925360 | Rachael Cohen | Counselor | 374th Mdg Unit 5071, Apo, AP 96328-5071 | 2015-10-30 |
| 1548593932 | Morgan Bergman | Counselor | 52 Mdos/sgow, Unit 3690, Apo, AE 09126 | 2009-09-16 |
| 1568585875 | Carol Frazelle | Counselor | Unit 20193 Box 0003, Apo, AE 09165 | 2007-04-10 |
| 1073613782 | James P. Bruner | Counselor | Ima-e, Sfim-eu-hr (saic-asacs0, Unit 29353 Box 200, Apo, AE 09014-9353 | 2006-09-23 |
| 1700844065 | Theresa Aileen Shuart | Counselor | Usag Schweinfurt, Army Substance Abuse Program, Cmr 457, Apo, AE 09033 | 2006-05-03 |
| 1700855590 | Nadine Karaskevicus | Counselor | Usameddac Wuerzburg/ Vilseck Sws, Unit 28038, Apo, AE 09112 | 2006-03-15 |
| 1932510500 | Eric Pedersen | Counselor | Usa Meddac Bavaria, Cmr 411, Bldg 700, Rose Barracks, Apo, AE 09112 | 2014-05-16 |
| 1376877860 | Elsa Ursula Longres | Counselor | Wbg Clinic, Unit 26610, Apo, AE 09036 | 2009-09-30 |
| 1194912543 | Shantenesia Leshana Reeves | Counselor | 18th Medical Group Unit 5142, Apo, AP 96368 | 2007-10-01 |
| 1376632216 | Russell Menard | Counselor | 18th Medcom, Attn: Dccs-qm (credentials), Apo, AP 96205-0054 | 2006-10-11 |
| Find all providers in APO | ||||
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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.