JESSICA HAGAN (NPI# 1669867446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669867446 |
| Entity Type | Individual |
| Full Name | JESSICA HAGAN |
| Other Name | JESSICA JENKINS |
| Credential | MA, LPC, NCC |
| Practice Address |
2563 S Val Vista Dr Suite 108 Gilbert AZ 85295-1804 |
| Practice Telephone | 4804481076 |
| Practice Fax Number | 4806468811 |
| Mailing Telephone | 4804481076 |
| Mailing Fax Number | 4806468811 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-15686 | AZ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-13921 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039366 | Jessica Hagan | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-02 |
| 1356878623 | Jessica Ann Hagan | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-17 |
| 1427417070 | Jessica Nicole Hagan | Dentist | 1165 Cedar Point Blvd Ste P, Cedar Point, NC 28584-1030 | 2016-02-10 |
| 1730504580 | Jessica Hagan | Physical Therapist | 28 Conservatory Dr Ste A, Barberton, OH 44203-4275 | 2014-03-03 |
| 1417202912 | Jessica Renae Hagan | Counselor | 7010 S Yale Ave, Ste 215, Tulsa, OK 74136 | 2012-07-20 |
| 1194018473 | Jessica Hagan | Occupational Therapy Assistant | 278 Dry Valley Rd, Algood, TN 38501 | 2011-05-19 |
| 1548598659 | Jessica Hagan | Physical Therapy Assistant | 16405 Northcross Dr, Suite G-2, Huntersville, NC 28078-5091 | 2009-12-01 |
| Street Address |
2563 S VAL VISTA DR SUITE 108 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154429264 | Eva Loiuse Kilbourne | Nurse Anesthetist, Certified Registered | 2563 S Val Vista Dr, Suite 101, Gilbert, AZ 85295-1804 | 2006-09-20 |
| 1689100299 | Premier Endoscopy Asc, LLC | Clinic/Center | 2563 S Val Vista Dr, Suite 101, Gilbert, AZ 85295-1804 | 2017-05-03 |
| 1689107963 | Rachelle Friedman | Social Worker | 2563 S Val Vista Dr, #108, Gilbert, AZ 85295-1804 | 2017-04-04 |
| 1417498502 | Infinite Healing and Wellness | Counselor | 2563 S Val Vista Dr, Suite #108, Gilbert, AZ 85295-1804 | 2017-03-09 |
| 1871941963 | Nathanael Perrizo | Counselor | 2563 S Val Vista Dr, Se Corner of Val Vista and Williams Field, Gilbert, AZ 85295-1804 | 2016-05-30 |
| 1780013409 | Georgette Oselette | Counselor | 2563 S Val Vista Dr, Gilbert, AZ 85295-1804 | 2013-11-04 |
| 1265719579 | Gilbert Anesthesia Services Pllc | Anesthesiology | 2563 S Val Vista Dr, Ste 101, Gilbert, AZ 85295-6231 | 2011-11-15 |
| 1801105754 | Kelly Jean O'horo | Counselor | 2563 S Val Vista Dr, Suite 108, Gilbert, AZ 85295-1804 | 2010-09-27 |
| 1386870459 | Nelson H. Lim Md, LLC | Internal Medicine | 2563 S Val Vista Dr, Ste 101, Gilbert, AZ 85295-1804 | 2009-06-03 |
| 1073795571 | Accredited Center for Digestive Health Pllc | Internal Medicine | 2563 S Val Vista Dr, Ste 101a, Gilbert, AZ 85295 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636319 | Stride Forward Counseling LLC | Counselor | 6566 S Oakwood Way, Gilbert, AZ 85298-4068 | 2020-10-12 |
| 1447860721 | Jennifer Lynn Vitagliano | Counselor | 1057 E Kensington Rd, Gilbert, AZ 85297-0023 | 2020-08-03 |
| 1790393197 | Joven Health, LLC | Counselor | 3635 E Larson Ln, Gilbert, AZ 85295-7229 | 2020-07-21 |
| 1083222681 | Reve Guillaume-partee | Counselor | 1166 E Warner Rd Ste 203, Gilbert, AZ 85296-3066 | 2020-07-20 |
| 1659905743 | New Legacy Counseling, Az, Pllc | Counselor | 1206 E Warner Rd Ste 118, Gilbert, AZ 85296-3133 | 2020-02-27 |
| 1871125724 | Erica Reveron | Counselor | 2473 S Higley Rd Ste 104-124, Gilbert, AZ 85295-3020 | 2020-02-09 |
| 1396385514 | Kaitlin Larissa Amini | Counselor | 428 S Gilbert Rd Ste 109, Gilbert, AZ 85296-2262 | 2020-01-15 |
| 1609414531 | Cassandra Duffy | Counselor | 3303 E Baseline Rd Ste 207, Gilbert, AZ 85234-2728 | 2019-12-10 |
| 1427606904 | Natalie Staples | Counselor | 3651 E Baseline Rd Ste E-120, Gilbert, AZ 85234-2689 | 2019-08-28 |
| 1184286908 | Megan Leonhardt Heywood | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-07-01 |
| Find all providers in GILBERT | ||||
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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.