JACQUELINE MARIE ANDERSON


Address: 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091
Phone: 9202683242

JACQUELINE MARIE ANDERSON (NPI# 1851520407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851520407
Entity Type Individual
Full Name JACQUELINE MARIE ANDERSON
Credential MAC
Practice Address 1011 N Lynndale Dr Ste 2d
Appleton
WI 54914-3091
Mailing Address 726 Hummingbird Ln Ste H
Neenah
WI 54956-5607
Practice Telephone 9202683242
Mailing Telephone 9202683242
Mailing Fax Number 8883356058
Enumeration Date 2009-07-03
Last Update Date 2020-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers JACQUELINE ANDERSON

NPI Name Taxonomy Address Enumeration
1154981900 Jacqueline Anderson Registered Nurse 668 E 84th St, Brooklyn, NY 11236-3428 2019-06-14
1205245255 Jacqueline Anderson Nurse Practitioner 2057 Northfield Dr, Santa Rosa, CA 95403-2073 2014-08-04
1336559756 Jacqueline Davis Anderson Nursing Care 3300 N Elm St, Greensboro, NC 27405-3156 2014-05-07
1376970897 Jacqueline Anderson Physical Therapist 13682 Mineral Springs Rd, West Fork, AR 72774-9380 2013-09-29
1922300391 Jacqueline Marie Anderson Speech-Language Pathologist 6229 Lawnton St, Philadelphia, PA 19128-2601 2010-11-17
1700064664 Jacqueline Alexandra Anderson Psychologist 1740 Se 18th St Ste 901, Ocala, FL 34471-5445 2008-02-03
1205903424 Jacqueline Denise Anderson Contractor 640 Acr 3593, Palestine, TX 75803 2006-11-30
1447354931 Jacqueline Connell Anderson Social Worker 590 Greene Ave, Brooklyn, NY 11216-1200 2006-09-13
1689200651 Jacqueline Anderson Counselor 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101-4501 2020-03-20
1295377364 Jacqueline Anderson Technician 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 2019-10-10

Office Location

Street Address 1011 N LYNNDALE DR STE 2D
City APPLETON
State WI
Zip Code 54914-3091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760023014 Anna Adesso Counselor 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091 2019-10-07
1952860629 Sara Ann Curtis Social Worker 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091 2019-03-13
1003221789 A Beautiful Journey, LLC Counselor 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091 2014-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572429 Claire Schuh Social Worker 3416 Association Ln, Appleton, WI 54914 2020-09-09
1568099729 Access Elevator, Inc. Contractor 1314 W. College Ave, Appleton, WI 54914 2020-03-26
1124677885 Sharon Darla Cornell Technician 3117 N. Mistwood Lane, Appleton, WI 54914 2019-09-05
1235647793 Midwest Monitoring, LLC Psychiatry & Neurology 4321 W College Ave Ste 200, Appleton, WI 54914 2018-01-18
1356863252 Uvanta Pharmacy LLC Pharmacy 1050 S Grider St, Suite C, Appleton, WI 54914 2017-07-12
1255860912 Appleton Counseling Management LLC Counselor 477 S Nicolet Rd., Appleton, WI 54914 2017-06-07
1609269489 Shane Scott Urban Social Worker 444 N. Westhill Blvd., Appleton, WI 54914 2015-03-18
1699184580 Michelle Becker Nurse Practitioner 4435 West Lawrence St., Appleton, WI 54914 2014-08-05
1972857514 Jean Flesch Pharmacist 1000 W. Northland Ave., Appleton, WI 54914 2012-11-05
1477845147 Mallory Barbara Herrin Counselor 820 W. College Ave, Appleton, WI 54914 2011-05-12
Find all providers in zip 54914

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639246382 Dorothy A Fonstad Counselor 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 2006-11-29
1821611591 Satia Kavanaugh Vanderloop Counselor 2031 E Calumet St, Appleton, WI 54915-4742 2020-05-28
1760014336 Catherine Elizabeth Ventura Counselor 245 N Metro Dr, Appleton, WI 54913-8572 2020-02-11
1306489695 Jodi Hage Counselor 5601 W Grande Market Dr Ste N, Appleton, WI 54913-8511 2019-10-20
1790337178 Melissa Lynette Wheeler Counselor 3301 N Ballard Rd, Appleton, WI 54911-8928 2019-07-15
1811456874 Kelli Waldron Counselor 412 E Longview Dr Ste C, Appleton, WI 54911-2168 2019-03-18
1740796390 Chloe J Kierszh Counselor 444 N Westhill Blvd, Appleton, WI 54914-5715 2017-12-19
1750891057 Melissa A Chambers Counselor 3962 N Richmond St, Appleton, WI 54913-7153 2017-10-02
1073032181 Lois J Johnson Counselor 444 N Westhill Blvd, Appleton, WI 54914-5715 2017-09-11
1144679465 Debra Kline Counselor 3003 N Richmond St, Appleton, WI 54911-1148 2016-06-07
Find all providers in APPLETON

Competitor

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City APPLETON
Zip Code 54914

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Dataset Information

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.

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