JESSICA L PACKARD (NPI# 1740553346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740553346 |
| Entity Type | Individual |
| Full Name | JESSICA L PACKARD |
| Credential | LCPC |
| Practice Address |
153 Park Row Ste 103 Brunswick ME 04011-2053 |
| Practice Telephone | 2075043587 |
| Mailing Telephone | 2075043587 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC4601 | ME | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
XL3914 | ME | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 76 Pleasant St, Brunswick, ME 040112203 | 2077210214 | 2077210215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457518995 | Jessica Packard | Counselor | 900 S Broadway, Suite 100-staffing, Denver, CO 80209-4198 | 2008-05-21 |
| Street Address |
153 PARK ROW STE 103 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811404098 | Rise Up LLC | Clinic/Center | 153 Park Row Ste 103, Brunswick, ME 04011-2053 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550250 | Kristen A Duran | Counselor | 127 F St Ste 202, Brunswick, GA 31520-6788 | 2019-10-21 |
| 1295256014 | Louanne M Robinson | Counselor | 37 Mill St Ste 8, Brunswick, ME 04011-1914 | 2017-07-01 |
| 1831627728 | Danielle Buccini | Counselor | 3487 Center Rd Ste 7c, Brunswick, OH 44212-3686 | 2017-05-23 |
| 1154858124 | Jennifer Mary Zak | Counselor | 664 Scranton Rd Ste 201, Brunswick, GA 31520-1947 | 2017-05-22 |
| 1447790498 | Julia B Waltman | Counselor | 169 Park Row Ste 8, Brunswick, ME 04011-2039 | 2017-02-24 |
| 1689110249 | Carrie Ligon | Counselor | 502 Gloucester St Ste 204, Brunswick, GA 31520-7092 | 2017-01-06 |
| 1053854521 | Mary Barnes | Counselor | 14 Saint Andrews Ct, Brunswick, GA 31520-6777 | 2016-11-30 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1043604671 | Stephanie Mayer | Counselor | 3110 Parkwood Dr, Brunswick, GA 31520-4735 | 2015-03-20 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| Find all providers in BRUNSWICK | ||||
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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.