MS. JESSICA LEA ANDERSON (NPI# 1679708390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679708390 |
| Entity Type | Individual |
| Full Name | MS. JESSICA LEA ANDERSON |
| Other Name | JESSICA JAMES |
| Credential | MA LPC NCC |
| Practice Address |
1320 Mendota St Ste 120 Madison WI 53714-1060 |
| Mailing Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Practice Telephone | 6082803106 |
| Mailing Telephone | 6082802700 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
5854-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC.0011615 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1679708390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245837 | Jessica N Anderson | Adult Companion | 1640 Arville St, Las Vegas, NV 89102-3840 | 2020-08-16 |
| 1699239236 | Jessica Anderson | Occupational Therapist | 20 County Barn Rd, Booneville, KY 41314-6500 | 2019-01-28 |
| 1275034423 | Jessica Dharma Anderson | Social Worker | 11 Woods Pond Drive, Westford, MA 01886 | 2018-02-23 |
| 1396275376 | Jessica Anna Anderson | Licensed Vocational Nurse | 539 Mitchell Ave, Turlock, CA 95380-4043 | 2017-06-13 |
| 1841739935 | Jessica Anderson | Speech-Language Pathologist | 6624 Beck Dr Ne, Albuquerque, NM 87109-3702 | 2017-02-22 |
| 1144769878 | Jessica Anderson | Nurse's Aide | 2803 Wooded Ln, Mchenry, IL 60051-7889 | 2017-02-14 |
| 1508302498 | Jessica Leah Anderson | Physical Therapy Assistant | 3620 Applewood Rd, North Chesterfield, VA 23234-4821 | 2017-01-16 |
| 1922557271 | Jessica Byers Anderson | Massage Therapist | 104 W Hilliard Ln, Eugene, OR 97404-3012 | 2016-09-28 |
| 1841668175 | Jessica Elise Anderson | Occupational Therapist | 731 S 16th St Apt 2f, Philadelphia, PA 19146-2126 | 2015-09-03 |
| 1073892097 | Jessica Lauren Anderson | Speech-Language Pathologist | 413 W Bloomfield Ave, Royal Oak, MI 48073-2567 | 2011-08-08 |
| Street Address |
1320 MENDOTA ST STE 120 |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487840765 | Christine M Goergen | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2007-09-19 |
| 1871109702 | Sawyer Smith | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-09-16 |
| 1881202208 | Arizona Suzanne Jaramillo | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1740898162 | Danielle Penaranda | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1346858768 | Lorayne Harrison | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-07-22 |
| 1649893579 | Rebecca R Parker | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-05-27 |
| 1487277315 | Tiffany Dia Yang | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-05-27 |
| 1104445972 | Stephanie Hoppel | Case Manager/Care Coordinator | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-04-13 |
| 1467087429 | Vanessa Verran | Counselor | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-03-10 |
| 1821623885 | Katherine Disch | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578770 | Sunshine Holstein | Counselor | 467 Main St Fl 4, Madison, WV 25130-2200 | 2020-11-05 |
| 1619589538 | Pamela Peoples | Counselor | 1888 Main St Ste C-189, Madison, MS 39110-6337 | 2020-08-21 |
| 1487278404 | Gillian Vandien | Counselor | 2701 International Ln Ste 205, Madison, WI 53704-3126 | 2020-06-05 |
| 1134740210 | Amy C Nicholson | Counselor | 720 Hill St Ste 230, Madison, WI 53705-3539 | 2020-04-30 |
| 1902435308 | Jeffrey Joseph Bopp | Counselor | 518 Diving Hawk Trl, Madison, WI 53713-3380 | 2020-04-07 |
| 1881222313 | Christopher Gabriel Krell | Counselor | 133 Se Macon St, Madison, FL 32340-2986 | 2020-03-30 |
| 1174153381 | Kristine Fernerud | Counselor | 77 Legend Hill Rd, Madison, CT 06443-1877 | 2020-01-16 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1124661996 | Lillian A Carroll | Counselor | 502 Pflaum Rd, Madison, WI 53716-2163 | 2019-10-23 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| Find all providers in MADISON | ||||
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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.