JESSICA R PAGE


Address: 125 Penfield Rd, Fairfield, CT 06824-6611
Phone: 2032555777

JESSICA R PAGE (NPI# 1902179690) 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) 1902179690
Entity Type Individual
Full Name JESSICA R PAGE
Credential LADC
Practice Address 125 Penfield Rd
Fairfield
CT 06824-6611
Practice Telephone 2032555777
Practice Fax Number 2033689167
Mailing Telephone 2032555777
Mailing Fax Number 2033689167
Enumeration Date 2012-02-11
Last Update Date 2018-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
001292 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004069985 05

Other Providers JESSICA PAGE

NPI Name Taxonomy Address Enumeration
1568079283 Jessica Adele Page Student in an Organized Health Care Education/Training Program 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 2020-09-27
1548667439 Jessica Christine Page Dietitian, Registered 1908 Meadow Ln, Edwardsville, IL 62025-5519 2014-11-20
1427485960 Jessica T Page Nurse Practitioner Dumc 3921, 201 Trent Drive, Durham, NC 27710-0001 2013-09-30
1306365614 Jessica Page Counselor 1340 Tully Rd, San Jose, CA 95122-3055 2017-09-18
1609321371 Jessica Page Health Educator 2100 38th St Nw, Canton, OH 44709-2312 2016-08-23
1053658708 Jessica Marie Page Obstetrics & Gynecology 50 N Medical Dr, Salt Lake City, UT 84132-3011 2013-01-14
1821368663 Jessica Lynne Page Nurse Practitioner 2872 Turnpike St, Susquehanna, PA 18847-2771 2012-01-11
1609031152 Jessica Joyce Page Marriage & Family Therapist 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 2008-07-24

Office Location

Street Address 125 PENFIELD RD
City FAIRFIELD
State CT
Zip Code 06824-6611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255570586 Maurice Hartigan Counselor 125 Penfield Rd, Fairfield, CT 06824-6611 2009-02-10
1982216511 Kathleen Ridgway Counselor 125 Penfield Rd, Fairfield, CT 06824-6611 2020-08-17
1487203352 Candice Lange Counselor 125 Penfield Rd, Fairfield, CT 06824-6611 2019-09-04
1619432473 Senja A Foster Marriage & Family Therapist 125 Penfield Rd, Fairfield, CT 06824-6611 2019-02-06
1437626132 Zoe Carona Social Worker 125 Penfield Rd, Fairfield, CT 06824-6611 2018-10-31
1053897108 Lisa R Shoglow Marriage & Family Therapist 125 Penfield Rd, Fairfield, CT 06824-6611 2018-07-12
1821584822 Kathryn Clara Mcneish Marriage & Family Therapist 125 Penfield Rd, Fairfield, CT 06824-6611 2018-07-03
1164936951 Trina Wong Marriage & Family Therapist 125 Penfield Rd, Fairfield, CT 06824-6611 2017-12-01
1942663604 Anna Boxleitner Counselor 125 Penfield Rd, Fairfield, CT 06824-6611 2016-03-31
1619352879 Katelin Dressel Counselor 125 Penfield Rd, Fairfield, CT 06824-6611 2015-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942819826 Lauren J Cotton Student in an Organized Health Care Education/Training Program 1073 North Benson Road, Fairfield, CT 06824 2020-07-28
1831652064 Seagull Counseling & Therapy LLC Social Worker 35 Nutmeg Lane, Fairfield, CT 06824 2019-04-14
1871018390 Richard Matthew Carraway Nurse Practitioner 117 Carlynn Drive, Fairfield, CT 06824 2017-08-05
1811426695 Fairfield County Health & Wellness Services II LLC Psychiatry & Neurology 325 Reef Road/suite 109, Fairfield, CT 06824 2017-06-06
1487198214 Evamarie Koehler Elinskas Speech-Language Pathologist 50 Potters Lane, Fairfield, CT 06824 2016-12-13
1447794441 Nicholas C Kopazna Counselor 433 Meadow St, Fairfield, CT 06824 2016-12-09
1245686997 Tyler Wayne Vitzthum Chiropractor 1995 Post Rd., Fairfield, CT 06824 2016-05-12
1184087660 Beth Segaloff Social Worker 191 Catherine Terrace, Fairfield, CT 06824 2016-04-01
1518342781 April Vanbergen Counselor 1275 Post Rd., Suite A5, Fairfield, CT 06824 2015-07-29
1982089181 Mary Cilio Social Worker 173 Samp Mortar Drive, Fairfield, CT 06824 2015-07-29
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700411386 Darren Hailey Counselor 72 Villa Cir, Fairfield, CA 94533-2523 2020-03-04
1013567270 Asia Robinson Counselor 1165 Dove Way, Fairfield, CA 94533-2542 2019-09-18
1689220477 Carl Leonard Fessenden Counselor 1974 Winchester Pl, Fairfield, CA 94533-3618 2019-08-16
1598262677 Jason Michael Levline Counselor 5266 Charlene Ave, Fairfield, OH 45014-1535 2018-04-06
1497285084 Beth A. Bronfman Counselor 87 Fairfield Rd, Fairfield, NJ 07004-2546 2017-06-15
1588191290 Kirk D. Condon Counselor 201 South 23rd, Fairfield, IA 52556 2017-05-12
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1730639329 Jonathon Grogan Counselor 2480 Hilborn Rd, Fairfield, CA 94534-1856 2016-10-07
1295119196 Sara Faye Jones Counselor 745 Ohio St Apt 2, Fairfield, CA 94533-6222 2015-07-10
1205242583 Amy Lynn Davis Counselor 620 Julmar Cir, Fairfield, CA 94534-4214 2014-07-07
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Competitor

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City FAIRFIELD
Zip Code 06824

Improve Information

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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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