JESSE S BLADOW (NPI# 1861736142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861736142 |
| Entity Type | Individual |
| Full Name | JESSE S BLADOW |
| Practice Address |
2060 Campus Dr Yreka CA 96097-9538 |
| Practice Telephone | 5308414100 |
| Mailing Telephone | 5308414100 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2060 CAMPUS DR |
| City | YREKA |
| State | CA |
| Zip Code | 96097-9538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025232 | Sarah Gates Collard | Psychologist | 2060 Campus Dr, Yreka, CA 96097-9538 | 2006-06-01 |
| 1902421217 | Christine Louise Tolman | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-06-11 |
| 1316562879 | Melinda Alice Klepach | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-06-10 |
| 1447879929 | Brian Nicholson | Registered Nurse | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-04-14 |
| 1710511225 | Vicki Bedford | Social Worker | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-02-24 |
| 1922632421 | Angie Mcknight | Licensed Vocational Nurse | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-02-24 |
| 1497389993 | Amanda Reiber | Case Manager/Care Coordinator | 2060 Campus Dr, Yreka, CA 96097-9538 | 2020-02-24 |
| 1437797107 | Jillyann Lowe | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-12-12 |
| 1720629751 | Loraine D Wisler | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-10-01 |
| 1881255016 | Mliss Jennings | Registered Nurse | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376830653 | Paul William Willis | Pharmacist | 807 S. Main St., Yreka, CA 96097 | 2011-07-07 |
| 1578883864 | Ginger A Bert | Chiropractor | 106 Ranch Ln Ste A, Yreka, CA 96097 | 2010-06-09 |
| 1669796611 | Rebekah Joyce Retterath | Dietitian, Registered | 444 Bruce Street, Yreka, CA 96097 | 2010-03-19 |
| 1780849679 | Donna Jean May | Marriage & Family Therapist | 625 Butte Street, Yreka, CA 96097 | 2008-07-21 |
| 1114121589 | Loren Cronk | Marriage & Family Therapist | 208 4th Street, Yreka, CA 96097 | 2007-06-12 |
| 1093928863 | Kristin Rene Kopplin | Psychologist | 1515 South Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-08 |
| 1073735379 | Rivkah Lynn Barmore | Social Worker | 1515 S Oregon, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1649492091 | Randy Terry Murieen | Social Worker | 1515 S Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1265654537 | Roy Victor Hall Jr. | Social Worker | 1515 South Oregon St, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1578785614 | Meadowlark | Assisted Living Facility | 351 Bruce St, Yreka, CA 96097 | 2007-05-02 |
| Find all providers in zip 96097 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205042819 | Paula Schmidt | Counselor | 1833 S Oregon St, Yreka, CA 96097-3446 | 2007-05-14 |
| 1851416309 | Leslie Cheryl Zane | Counselor | 2060 Campus Dr., Yreka, CA 96097 | 2007-03-20 |
| 1942350921 | Linda Roddy | Counselor | 311 4th Street, Yreka, CA 96097 | 2007-01-11 |
| 1437797107 | Jillyann Lowe | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-12-12 |
| 1427616887 | Elvia Amezcua | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-05-31 |
| 1437714664 | Melvin Hawkins | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2019-05-02 |
| 1598237760 | Shantell Loree Reed | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2018-12-27 |
| 1093283194 | Mario Cintron | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2018-11-06 |
| 1609343011 | David S Terry | Counselor | 206 4th St, Yreka, CA 96097-2951 | 2018-10-24 |
| 1780166496 | Dawn Jeanette Cales | Counselor | 2060 Campus Dr, Yreka, CA 96097-9538 | 2018-08-30 |
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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.