JESSICA ANN RANDOCK (NPI# 1851888457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851888457 |
| Entity Type | Individual |
| Full Name | JESSICA ANN RANDOCK |
| Credential | CDP |
| Practice Address |
22 S Thor St Spokane WA 99202-4855 |
| Practice Telephone | 5095332000 |
| Practice Fax Number | 5095322005 |
| Mailing Telephone | 5095332000 |
| Mailing Fax Number | 5095322005 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60499946 | WA | Behavioral Health & Social Service Providers |
| Street Address |
22 S THOR ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619058997 | Yfa Connections | Respite Care | 22 S Thor St, Spokane, WA 99202-4855 | 2006-10-17 |
| 1003432055 | Sara Robinson | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2020-06-24 |
| 1609437748 | Isabella Kai Benn | Case Manager/Care Coordinator | 22 S Thor St, Spokane, WA 99202-4855 | 2019-06-27 |
| 1609338557 | Morgan Monteon | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2019-04-01 |
| 1780168922 | Amy Kristine Termeer | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2018-09-24 |
| 1235612250 | Catherine Doran | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2018-09-14 |
| 1144722208 | James Walter Abitz | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2018-03-05 |
| 1932600111 | Madison Lily Roberts | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2018-02-23 |
| 1386145514 | Garrett Anthony Jarvis | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2018-02-22 |
| 1225539570 | Jeffery Duane Clark | Counselor | 22 S Thor St, Spokane, WA 99202-4855 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1295342111 | Pamela Sue Russo | Counselor | 103 E First Ave, Spokane, WA 99202-1510 | 2020-09-24 |
| 1033728415 | Beyond Behavioral Health LLC | Counselor | 104 S Freya St Bldg Suite210, Spokane, WA 99202-4862 | 2020-07-30 |
| 1700400702 | Heather Hedum | Counselor | 104 S Freya St Ste 206, Spokane, WA 99202-4889 | 2020-06-04 |
| 1568004182 | Tracy L Dantzler | Counselor | 101 E Magnesium Rd Ste 101, Spokane, WA 99208-5901 | 2019-10-15 |
| 1568921534 | Megan Nicole Tackes | Counselor | 1508 W 6th Ave, Spokane, WA 99204-3409 | 2019-03-18 |
| 1942772637 | Cheryl Kay Cross | Counselor | 4214 N Cedar St, Spokane, WA 99205-1323 | 2018-12-19 |
| 1508337361 | Lisa Webb | Counselor | 2402 E Nebraska Ave, Spokane, WA 99208-2308 | 2018-12-05 |
| 1881162956 | Adam Patyk | Counselor | 820 W Jackson Ave Apt 3, Spokane, WA 99205-3335 | 2018-11-07 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| Find all providers in SPOKANE | ||||
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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.