MS. JACI W NELSON (NPI# 1679922991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679922991 |
| Entity Type | Individual |
| Full Name | MS. JACI W NELSON |
| Credential | IMFT |
| Practice Address |
1110 Webster St Dayton OH 45404-1556 |
| Practice Telephone | 9374632955 |
| Practice Fax Number | 9374632969 |
| Mailing Telephone | 9374632955 |
| Mailing Fax Number | 9374632969 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | F1000005 | OH | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | F 1000005 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1110 WEBSTER ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497153340 | Brianna T. Abram | Counselor | 1110 Webster St, Dayton, OH 45404-1556 | 2014-12-09 |
| 1689131419 | Kristin Pressley | Case Manager/Care Coordinator | 1110 Webster St, Dayton, OH 45404-1556 | 2019-02-28 |
| 1316435704 | Beatrice Keeton | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2018-05-01 |
| 1588160147 | Shanna Robinson | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2018-04-03 |
| 1053817601 | Monica Lynne Jenkins | Counselor | 1110 Webster St, Dayton, OH 45404-1556 | 2018-04-03 |
| 1942710082 | Ashley Nicole Lucas | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2017-10-03 |
| 1093224040 | Catherine C French | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2017-09-21 |
| 1073049037 | Grace Pera | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2017-05-11 |
| 1093242828 | Tamar Totty | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2017-05-11 |
| 1902333735 | Evangeline Elzey | Social Worker | 1110 Webster St, Dayton, OH 45404-1556 | 2017-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| Find all providers in zip 45404 | ||||
| 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 |
|---|---|---|---|---|
| 1225540016 | Sean Raymond Barrett | Marriage & Family Therapist | 7031 N Main St, Dayton, OH 45415-2537 | 2017-11-01 |
| 1497264386 | Monique Estelle Williamson | Marriage & Family Therapist | 625 Oxford Ave, Dayton, OH 45402-5821 | 2017-09-24 |
| 1366876161 | Dayton Valley Family Therapy | Marriage & Family Therapist | 246 Dayton Valley Rd, Suite 102-a, Dayton, NV 89403-8923 | 2013-08-28 |
| 1386120921 | Chey-anne Wilson | Marriage & Family Therapist | 6300 N Main St, Dayton, OH 45415-3154 | 2018-07-17 |
| 1528578259 | Enros Misola Manaligod | Marriage & Family Therapist | 267 Regency Ridge Dr, Dayton, OH 45459-4221 | 2017-10-09 |
| 1386188308 | Tabata C Alain | Marriage & Family Therapist | 601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc., Dayton, OH 45417-3424 | 2016-12-09 |
| 1235525338 | Emily Haddox | Marriage & Family Therapist | 2211 Arbor Blvd., Dayton, OH 45439-1521 | 2015-04-15 |
| 1356578595 | Gregory Singfield | Marriage & Family Therapist | 6520 Poe Ave, Suite 200, Dayton, OH 45414 | 2009-06-15 |
| 1669552899 | Shelley Miller | Marriage & Family Therapist | 3821 Little York Rd, Dayton, OH 45414-2409 | 2006-10-16 |
| 1407944242 | David Hill | Marriage & Family Therapist | 601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc., Dayton, OH 45417-3424 | 2006-10-10 |
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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.