JENNIFER LYNN GATZKE (NPI# 1902228547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902228547 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN GATZKE |
| Other Name | JENNIFER LYNN RENNICH |
| Credential | MS, LAC, LPCC |
| Practice Address |
1237 W Divide Ave Ste 5 Bismarck ND 58501-1220 |
| Practice Telephone | 7013288842 |
| Practice Fax Number | 7013288900 |
| Mailing Telephone | 7013288842 |
| Mailing Fax Number | 7013288900 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1701 | ND | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
838-6-1-15-301 | ND | Behavioral Health & Social Service Providers |
| Street Address |
1237 W DIVIDE AVE STE 5 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730161613 | Igmidio A Santos | Psychiatry & Neurology | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | 2005-11-16 |
| 1073025805 | Ashley L Jahner | Social Worker | 1237 W Divide Ave, Bismarck, ND 58501-1220 | 2017-11-02 |
| 1225574163 | Andrew Rohrich | Counselor | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1220 | 2017-01-17 |
| 1871986323 | Melinda Peterson | Case Manager/Care Coordinator | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1220 | 2015-03-09 |
| 1578971941 | Trista Schander | Counselor | 1237 W Divide Ave, Suite 5, Bismarck, ND 58501-1220 | 2014-07-29 |
| 1659781805 | Mandi Tipton | Counselor | 1237 W Divide Ave, Suite 5, Bismarck, ND 58501-1220 | 2014-04-28 |
| 1710300876 | Darcea M Duerre | Social Worker | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1220 | 2014-01-27 |
| 1326474065 | Keri Milas | Social Worker | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | 2013-09-25 |
| 1619300464 | Brandace K Heisler | Registered Nurse | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | 2013-08-15 |
| 1700221017 | Janice Zachmeier | Specialist | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110383 | Beacon Counseling Services Pllc | Counselor | 225 Frontage Pl, Bismarck, ND 58501-8606 | 2020-10-08 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1285147900 | Discovery Christian Counseling | Counselor | 1915 N Kavaney Dr Ste 4, Bismarck, ND 58501-1785 | 2017-11-16 |
| 1598202624 | Michelle Marie Richter | Counselor | 1308 Elbowood Ln, Bismarck, ND 58503-5712 | 2017-01-26 |
| 1538549829 | Anna Weisbeck | Counselor | 101 Slate Dr Ste 2, Bismarck, ND 58503-6171 | 2015-06-02 |
| 1790193258 | Christina Michaelson | Counselor | 2207 E Main Ave, Bismarck, ND 58501-4910 | 2014-07-29 |
| 1821329079 | Anna J Thompson | Counselor | 107 W Main Ave Ste 225, Bismarck, ND 58501-3873 | 2010-01-27 |
| 1477786416 | Jennifer Schaible | Counselor | 1915 N Kavaney Dr, Suite 4, Bismarck, ND 58501-1768 | 2009-08-25 |
| 1487862975 | Kirby C Schmidtgall | Counselor | 1009 N 14th St, Bismarck, ND 58501-4246 | 2007-05-18 |
| 1942413968 | Julie Dickerson | Counselor | 3399 Finch Road, Bismarck, AR 71929 | 2007-05-07 |
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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.