JENNIFER L MASTICK (NPI# 1790333243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790333243 |
| Entity Type | Individual |
| Full Name | JENNIFER L MASTICK |
| Other Name | JENNIFER M BUDELL |
| Credential | LPC, ATR |
| Practice Address |
1414 Macarthur Rd Madison WI 53714-1318 |
| Practice Telephone | 6082428334 |
| Mailing Telephone | 6082428334 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6649-125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236406 | Jennifer Joy Mastick | Registered Nurse | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2019-03-26 |
| Street Address |
1414 MACARTHUR RD |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205217221 | Greater Wi Agency On Aging Resources | Case Management | 1414 Macarthur Rd, Suite A, Madison, WI 53714-1318 | 2015-06-16 |
| 1922559756 | Community Living Alliance | In Home Supportive Care | 1414 Macarthur Rd, Madison, WI 53714-1318 | 2016-10-17 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1013563717 | Cynthia A Perry | Counselor | 104 Brickstone Pl, Madison, AL 35756-3498 | 2019-08-18 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1912562687 | Dedicated Solutions, LLC. | Counselor | 8006 Old Madison Pike Ste 20o, Madison, AL 35758-1490 | 2019-05-07 |
| 1063997955 | Tarea Stout | Counselor | 213 Paxton Cv, Madison, MS 39110-8900 | 2018-09-26 |
| 1700374410 | Susan Banks-norton | Counselor | 461 Capshaw Rd Nw Ste F, Madison, AL 35757-7940 | 2018-04-27 |
| 1720586761 | Anesis Center for Marriage and Family Therapy | Counselor | 6409 Odana Rd Ste 14, Madison, WI 53719-1177 | 2018-01-24 |
| 1124545199 | Synergos Counseling LLC | Counselor | 5250 E Terrace Dr, Madison, WI 53718-8345 | 2017-08-29 |
| 1194271106 | Lea Angela Pearrow | Counselor | 1321 Cheyenne Blvd, Madison, TN 37115-5523 | 2016-08-30 |
| 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.