DEE ANNA JETER (NPI# 1821235862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821235862 |
| Entity Type | Individual |
| Full Name | DEE ANNA JETER |
| Credential | LPC |
| Practice Address |
125 Grove Crk Waco TX 76708-3749 |
| Practice Telephone | 2547228067 |
| Mailing Telephone | 2547228067 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
14196 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 095743302 | 05 | |
| TX | CHILDREN'S HEALTH INSURANCE PROGRAM | 823696 | 01 |
| TX | BLUE CROSS/BLUE SHIELD OF TEXAS | 82406L | 01 |
| TX | MHN PROFESSIONAL RELATIONS | 184888 | 01 |
| Street Address |
125 GROVE CRK |
| City | WACO |
| State | TX |
| Zip Code | 76708-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306975 | Se Hee Seo | Counselor | 2400 Corporation Pkwy Apt 7104, Waco, TX 76712-6936 | 2020-04-29 |
| 1740837780 | Alethea Jean Thomas | Counselor | 6501 Sanger Ave Ste 302, Waco, TX 76710-7802 | 2019-08-23 |
| 1215450614 | Rachel Ann Mims | Counselor | 305 Stead Dr, Waco, TX 76705-1536 | 2017-07-18 |
| 1538607080 | Wisconsin Lutheran Child & Family Service, Inc. | Counselor | 203 Kendall St, Waco, NE 68460-3000 | 2017-02-05 |
| 1497200166 | Pi Y Chen | Counselor | 6600 Sanger Ave Ste 8, Waco, TX 76710-7805 | 2016-08-23 |
| 1235586793 | Kimberley Nesmith | Counselor | 110 Midway Ctr, Waco, TX 76712-3637 | 2016-05-14 |
| 1477813293 | Yolanda F. Attaway | Counselor | 9405 Reno Dr, Waco, TX 76712-8627 | 2012-05-26 |
| 1982876975 | Carolyn Gardner | Counselor | 3925 I-35 South, Waco, TX 76706-3775 | 2008-03-31 |
| 1578789186 | Shelly Leigh Rogers | Counselor | 4901 Lakewood Dr Ste A, Waco, TX 76710-2909 | 2007-04-18 |
| 1447329420 | Kristi Michelle Kirk | Counselor | 201 Old Hewitt Rd Ste C, Waco, TX 76712-3548 | 2006-11-06 |
| Find all providers in WACO | ||||
Please comment or provide details below to improve the information on DEE ANNA JETER.
| 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.