JESSICA MARIE NORMAN (NPI# 1669715173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669715173 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE NORMAN |
| Credential | MS, LMFT, CADC |
| Practice Address |
3815 Harrison Ave Rockford IL 61108-7631 |
| Practice Telephone | 8153872453 |
| Practice Fax Number | 8153877997 |
| Mailing Telephone | 8153872453 |
| Mailing Fax Number | 8153877997 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
16793-130 | WI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
321-228 | WI | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 166001087 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932493368 | Jessica E. Norman | Counselor | 825 Wilkesboro Blvd Ne, Lenoir, NC 28645-4612 | 2011-06-02 |
| 1508340852 | Jessica Anne Norman | Nurse Practitioner | 1000 E Cherry St, Troy, MO 63379-1513 | 2018-09-22 |
| 1316431893 | Jessica Norman | Obstetrics & Gynecology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2018-06-19 |
| 1750881801 | Jessica Leah Norman | Counselor | 380 Encinal St, Santa Cruz, CA 95060-2178 | 2018-02-15 |
| 1134640733 | Jessica Lynn Norman | Nurse Practitioner | 417 N 11th St, Richmond, VA 23298-5002 | 2017-07-05 |
| 1588103006 | Jessica Lynn Norman | Pharmacist | 600 Highland Avenue, University of Wisconsin Hospital and Clinics, Madison, WI 53792 | 2017-02-16 |
| 1710242284 | Jessica Nicole Norman | Counselor | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2012-07-10 |
| Street Address |
3815 HARRISON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-7631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459709 | Rosecrance Inc | Clinic/Center | 3815 Harrison Ave, Outpatient, Rockford, IL 61108-7631 | 2005-10-03 |
| 1497364020 | Kaitlyn Sornsin | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-07-29 |
| 1760017800 | Amanda Renee Miller | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-03-09 |
| 1194355867 | Andrew Walters | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-22 |
| 1609406347 | Linda Jones | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-22 |
| 1801426788 | Amanda Leever | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-20 |
| 1336779263 | Stephanie Nicole Hardcastle | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-20 |
| 1972133841 | Jennifer Lee Sanders | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-20 |
| 1144850314 | Laura Olson | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-16 |
| 1609406842 | Peter Loehr | Registered Nurse | 3815 Harrison Ave, Rockford, IL 61108-7631 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093001 | Jennifer Mitchell | Marriage & Family Therapist | 2108 23rd St, Rockford, IL 61108-6015 | 2020-04-27 |
| 1396216081 | Sabrina Johnson | Marriage & Family Therapist | 6653 Weaver Rd Ste 12, Rockford, IL 61114-8052 | 2018-12-06 |
| 1730544750 | Katherine L Siler | Marriage & Family Therapist | 5906 Elaine Dr Ste 105, Rockford, IL 61108-2467 | 2015-12-17 |
| 1538532510 | Jodiann Hulstedt | Marriage & Family Therapist | 3493 Fawnridge Dr, Rockford, IL 61114-5496 | 2015-11-12 |
| 1578813119 | David J Creek | Marriage & Family Therapist | 6653 Weaver Rd, Rockford, IL 61114-8025 | 2012-09-11 |
| 1831307206 | Linda Thanh Nguyen | Marriage & Family Therapist | 1330 E State St, Suite 4, Rockford, IL 61104-2251 | 2007-05-18 |
| 1851433254 | Kathleen Marie Freeburg | Marriage & Family Therapist | 5804 Elaine Dr, Mathers Clinic, Rockford, IL 61108 | 2007-02-13 |
| 1649880519 | Kelcy M Ainsworth | Marriage & Family Therapist | 6653 Weaver Rd Ste 12, Rockford, IL 61114-8025 | 2020-08-05 |
| 1285081190 | Michelle Mccabeschafer | Marriage & Family Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2016-05-20 |
| 1740649235 | Kevin Verde | Marriage & Family Therapist | 2704 N Main St, Rockford, IL 61103-3112 | 2016-02-12 |
| Find all providers in ROCKFORD | ||||
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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.