KEVIN JOSEPH JACQUES (NPI# 1689229494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689229494 |
Entity Type | Individual |
Full Name | KEVIN JOSEPH JACQUES |
Practice Address |
14949 62nd St N Stillwater MN 55082-6132 |
Practice Telephone | 6512757400 |
Enumeration Date | 2019-08-08 |
Last Update Date | 2019-08-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
14949 62ND ST N |
City | STILLWATER |
State | MN |
Zip Code | 55082-6132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861653750 | Kim Marie Gleich | Psychologist | 14949 62nd St N, Stillwater, MN 55082-6132 | 2008-06-23 |
1902421092 | Nichole Margaret Aguilera Torres | Social Worker | 14949 62nd St N, Stillwater, MN 55082-6102 | 2020-06-15 |
1255956496 | Haley Dyan Morgan Shepard | Counselor | 14949 62nd St N, Stillwater, MN 55082-6132 | 2020-06-13 |
1720611452 | Brooke A Hendrickson | Social Worker | 14949 62nd St N, Stillwater, MN 55082-6132 | 2020-02-21 |
1962051615 | Amy Bernstein | Counselor | 14949 62nd St N, Stillwater, MN 55082-6102 | 2019-09-05 |
1295382323 | Carrie Tws Krautkremer | Counselor | 14949 62nd St N, Stillwater, MN 55082-6102 | 2019-08-22 |
1275189433 | Steven Duane Spandl | Counselor | 14949 62nd St N, Stillwater, MN 55082-6132 | 2019-08-14 |
1093361669 | Connie Yanez | Counselor | 14949 62nd St N, Stillwater, MN 55082-6132 | 2019-08-10 |
1902452584 | Sara Conway | Counselor | 14949 62nd St N, Stillwater, MN 55082-6132 | 2019-08-10 |
1053967604 | Bailey Stottrup | Counselor | 14949 62nd St N, Stillwater, MN 55082-6132 | 2019-08-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
Find all providers in zip 55082 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215419742 | Heather June Waldvogel | Counselor | 619 Ranch Ave, Stillwater, OK 74075-1432 | 2018-08-31 |
1356832091 | Mckenzie Goff | Counselor | 920 S Murphy St Apt 2205, Stillwater, OK 74074-1588 | 2018-05-29 |
1861915316 | Chelsea Keel | Counselor | 3800 N Washington St, Stillwater, OK 74075 | 2017-07-17 |
1033588611 | Sarai Cerano | Counselor | 307 N Duncan St, Stillwater, OK 74075-5204 | 2015-09-24 |
1609265206 | Brittany Breann Burrell | Counselor | 110 S Brush Creek Rd, Stillwater, OK 74075-8308 | 2015-01-20 |
1215366505 | Chelsea Deever | Counselor | 2416 N Star Dr, Stillwater, OK 74075-2655 | 2013-11-06 |
1033544119 | Michael Robert Peterson | Counselor | 522 4th St S, Stillwater, MN 55082-4966 | 2013-09-09 |
1467704874 | Valerie Jean Carter | Counselor | 1624 Cimmaron Plaza - Sioc, Stillwater, OK 74075-3467 | 2012-10-09 |
1245505171 | Lexie Lea Garis | Counselor | 502 S Duck St, Stillwater, OK 74074-4051 | 2012-03-10 |
1750671194 | Kate Walsh Soucheray | Counselor | 275 3rd St S Ste 303, Stillwater, MN 55082-8001 | 2011-04-18 |
Find all providers in STILLWATER |
City | STILLWATER |
Zip Code | 55082 |
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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.