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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
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 |
Street Address |
1011 N LYNNDALE DR STE 2D |
City | APPLETON |
State | WI |
Zip Code | 54914-3091 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.