MS. JENNIFER LAUREN WALL (NPI# 1699885095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699885095 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LAUREN WALL |
| Credential | LPC |
| Practice Address |
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544 |
| Mailing Address |
21641 Ridgetop Cir #105 Sterling VA 20166-6597 |
| Practice Telephone | 7037715100 |
| Practice Fax Number | 7037770170 |
| Mailing Telephone | 5712583026 |
| Mailing Fax Number | 5712583032 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740798917 | Jennifer N Wall | Registered Nurse | 8015 Shoal Creek Blvd Ste 103, Austin, TX 78757-8051 | 2018-01-22 |
| 1760901037 | Jennifer Wall | Occupational Therapy Assistant | 1310 Nw Deane St, Pullman, WA 99163-3705 | 2017-09-18 |
| 1932586435 | Jennifer Wall | Ophthalmology | 1109 Us Highway 19, Holiday, FL 34691-5638 | 2015-05-04 |
| 1538327143 | Jennifer Lyn Wall | Pediatrics | 155 Printers Pkwy, Colorado Springs, CO 80910-6100 | 2008-05-30 |
| 1689699027 | Jennifer B Wall | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2006-07-13 |
| Street Address |
102 HERITAGE WAY NE STE 302 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699707802 | Lisa M Kirk | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2006-07-07 |
| 1780282376 | Kevin Grigsby | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-10-15 |
| 1922613561 | Bless Sherrina Whitaker | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-09-10 |
| 1619597648 | Douglas Mao | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-04-20 |
| 1942833520 | Shantell Turner | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-02-21 |
| 1265062426 | Ashlee Abney | Social Worker | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-01-16 |
| 1699312728 | Heather Rainey | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-12-09 |
| 1972146827 | Mihaela Stefan | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-10-23 |
| 1972159762 | Rebecca Suzanne Washington | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-08-16 |
| 1508419151 | Ryan Lynch | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134395262 | Elizabeth Ann Bosmajian | Counselor | 333 Harrison St Se, Leesburg, VA 20175-3720 | 2008-05-08 |
| 1942833520 | Shantell Turner | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-02-21 |
| 1699312728 | Heather Rainey | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-12-09 |
| 1467912964 | Suchita Palit | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-03-21 |
| 1104391622 | Ellen Kathleen Labgold | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2018-10-11 |
| 1720560592 | Erika Nieves Rodriguez | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2018-08-29 |
| 1154812121 | Colleen Doyle | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2018-05-24 |
| 1760980536 | Milton Cesar Sanchez | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2018-01-26 |
| 1326587809 | Sarah Hickey | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2017-02-17 |
| 1245637107 | Sandra L Dettra | Counselor | 15d Loudoun St Sw, Leesburg, VA 20175-2908 | 2014-11-20 |
| Find all providers in LEESBURG | ||||
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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.