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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004069985 | 05 |
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 |
Street Address |
125 PENFIELD RD |
City | FAIRFIELD |
State | CT |
Zip Code | 06824-6611 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 06824 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
Find all providers in FAIRFIELD |
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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.