JESSICA ROSE THERING (NPI# 1932590916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932590916 |
| Entity Type | Individual |
| Full Name | JESSICA ROSE THERING |
| Credential | SAC-IT, MT-BC, WMTR |
| Practice Address |
1971 Washington St Suite 200 Grafton WI 53024-2102 |
| Practice Telephone | 2623776276 |
| Mailing Telephone | 2623776276 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 117 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
17328 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1971 WASHINGTON ST SUITE 200 |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457788242 | Alarus Healthcare, LLC | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2102 | 2013-10-11 |
| 1063995132 | William Vansusteren | Counselor | 1971 Washington St, Grafton, WI 53024-2122 | 2018-09-13 |
| 1679081426 | Jesslyn L Chiarello | Counselor | 1971 Washington St, Grafton, WI 53024-2122 | 2018-01-15 |
| 1891231999 | Elizabeth Jane Grant | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2122 | 2017-01-12 |
| 1760936173 | Shanna Lehman | Clinic/Center | 1971 Washington St, Grafton, WI 53024-2122 | 2016-08-15 |
| 1871962423 | Mandy Howey | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2102 | 2015-09-24 |
| 1164834974 | Alarus Home Health LLC | Home Health | 1971 Washington St, Suite 200, Grafton, WI 53024-2102 | 2014-05-28 |
| 1881013001 | Kelsey Benna | Counselor | 1971 Washington St, Grafton, WI 53024-2102 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1366956971 | Pamela Roberts Gibson | Counselor | 403 N Pike St, Grafton, WV 26354-1268 | 2017-11-20 |
| 1427361427 | Cynthia Jean Carlson | Counselor | 101 Falls Rd Ste 600, Grafton, WI 53024-2612 | 2010-07-19 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1902813579 | Diana Pogoriler | Counselor | 1930 Wisconsin Ave, Grafton, WI 53024-2632 | 2006-08-03 |
| 1104323500 | Tami Feld | Counselor | 101 Falls Rd Ste 210, Grafton, WI 53024-2612 | 2018-04-11 |
| 1528596806 | Transcend Therapeutic Services, LLC | Counselor | 512 Main St, Grafton, OH 44044-1318 | 2017-05-31 |
| 1942677257 | Rachel Lynn Beam | Counselor | 1245 Cheyenne Ave Ste 201, Grafton, WI 53024 | 2015-08-24 |
| 1144607169 | Ozaukee Community Therapies LLC | Counselor | 101 Falls Rd, Suite 403, Grafton, WI 53024-2612 | 2015-04-28 |
| 1881013001 | Kelsey Benna | Counselor | 1971 Washington St, Grafton, WI 53024-2102 | 2014-04-15 |
| Find all providers in GRAFTON | ||||
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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.