JENNIFER GROSS (NPI# 1902283336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902283336 |
| Entity Type | Individual |
| Full Name | JENNIFER GROSS |
| Other Name | JENNIFER TANNER |
| Practice Address |
3161 Custer Dr Ste 4 Lexington KY 40517-4067 |
| Practice Telephone | 8599776080 |
| Practice Fax Number | 8599774502 |
| Mailing Telephone | 8599776080 |
| Mailing Fax Number | 8599774502 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPCCCA00218578 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1790731081 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558801555 | Jennifer Bragg Gross | Physical Therapist | 3855 Shallowford Rd Ste 415, Marietta, GA 30062-4197 | 2017-02-24 |
| 1730549635 | Jennifer Leigh Gross | Speech-Language Pathologist | 543 General Cruft Dr, Richmond, KY 40475-7520 | 2016-03-04 |
| 1043645328 | Jennifer Elaine Gross | Physical Therapist | 653 N La Nae Cir, Orange, CA 92869-2514 | 2013-09-05 |
| 1235281395 | Jennifer Gross | Occupational Therapist | 1410 W Daisy L Gatson Bates Dr, Little Rock, AR 72202-5434 | 2007-01-17 |
| 1841369618 | Jennifer Lynn Gross | Nurse Practitioner | 7350 Lakota Springs Dr, West Chester, OH 45069-5408 | 2006-11-07 |
| 1023197951 | Jennifer Marie Gross | Counselor | 1902 120th Pl Se Ste 102b, Everett, WA 98208-8400 | 2006-11-02 |
| 1467067058 | Jennifer Amanda Gross | Marriage & Family Therapist | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2020-09-10 |
| 1861013047 | Jennifer Gross | Speech-Language Pathologist | 8101 Boat Club Rd Ste 160, Fort Worth, TX 76179-3631 | 2020-04-29 |
| 1114564648 | Jennifer Gross | Counselor | 280 E Thousand Oaks Blvd Ste D, Thousand Oaks, CA 91360-7762 | 2019-12-03 |
| 1235698424 | Jennifer Gross | Behavior Technician | 1221 W Divide Ave Ste 2, Bismarck, ND 58501-1224 | 2019-03-18 |
| Street Address |
3161 CUSTER DR STE 4 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982089132 | Shaneen Lang | Counselor | 3161 Custer Dr Ste 4, Lexington, KY 40517-4067 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860752 | Tyler Douglas Choate | Counselor | 908 Star of Danube Way, Lexington, KY 40509-4473 | 2020-10-27 |
| 1447862560 | New Moon Counseling and Wellness, LLC | Counselor | 713 Millpond Rd Ste 8, Lexington, KY 40514-1570 | 2020-08-19 |
| 1194370429 | Brain Health Center Psc | Counselor | 535 W Second St Ste 205, Lexington, KY 40508-2183 | 2019-08-05 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1326588120 | Ethan Nathaniel Grimes | Counselor | 124 Cisco Rd, Lexington, KY 40504-1143 | 2017-02-28 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1265977342 | Tara Bangtson | Counselor | 251 E Maxwell St, Lexington, KY 40508-2636 | 2016-12-28 |
| 1265974828 | Megan Perkins | Counselor | 464 W Second St # 9, Lexington, KY 40507-1040 | 2016-11-14 |
| 1851768436 | Rebecca Lynn Host | Counselor | 128 Dennis Dr, Lexington, KY 40503-2917 | 2015-08-30 |
| Find all providers in LEXINGTON | ||||
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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.