JESSICA COSTALDI (NPI# 1841444189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841444189 |
| Entity Type | Individual |
| Full Name | JESSICA COSTALDI |
| Credential | LPC |
| Practice Address |
2805 E Zion Rd Fayetteville AR 72703-5195 |
| Mailing Address |
3352 N Futrall Dr Fayetteville AR 72703-4057 |
| Practice Telephone | 4794436436 |
| Practice Fax Number | 4794432519 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2805 E ZION RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205084225 | Alonzo Terrell | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2008-09-03 |
| 1861707671 | Heidi Elan Nash | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-08-17 |
| 1629383427 | Jacob Gibbs | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-08-17 |
| 1255646063 | Jason Mcdonald | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-08-17 |
| 1336469345 | Sean Holloway | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-06-02 |
| 1871813832 | Evan Burgess | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-06-01 |
| 1417277468 | Grant A Gibbs | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-06-01 |
| 1659690725 | Charles W Cross | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-05-27 |
| 1326379728 | Clay Schuchardt | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-01-25 |
| 1225365117 | Justin Hart | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1700421724 | Waylon Vande Hoef | Counselor | 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 | 2019-11-13 |
| 1730640137 | Sherrita Hedgepeth | Counselor | 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 | 2019-03-28 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1073006540 | Rona Gooden | Counselor | 706 Dandridge Dr, Fayetteville, NC 28303-2017 | 2018-06-10 |
| 1194229245 | The Welling Place LLC | Counselor | 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 | 2018-03-22 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1376062539 | Monique R Darnell | Counselor | 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 | 2017-09-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on JESSICA COSTALDI.
| 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.