ELIZABETH SORRELL WADE (NPI# 1942343603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942343603 |
| Entity Type | Individual |
| Full Name | ELIZABETH SORRELL WADE |
| Credential | LPC |
| Practice Address |
514 E Commerce St Jacksonville TX 75766-4910 |
| Mailing Address |
Po Box 131 Jacksonville TX 75766-0131 |
| Practice Telephone | 9032531705 |
| Practice Fax Number | 9035860929 |
| Mailing Telephone | 9032531705 |
| Mailing Fax Number | 9035860929 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
18686 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 83882L | 01 |
| TX | 165842901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830024 | Elizabeth Louise Wade | Naturopath | 1925 Ne Halsey St, Portland, OR 97232-1518 | 2019-03-15 |
| 1164814711 | Elizabeth Wade | Nurse Practitioner | 1600 W Morton Ave, Jacksonville, IL 62650-2718 | 2015-02-19 |
| 1043640105 | Elizabeth Wade | Licensed Practical Nurse | 3108 Thornridge Dr, Grand Blanc, MI 48439-8987 | 2013-11-26 |
| 1780029306 | Elizabeth Wade | Dietitian, Registered | 1315 Church St, Lynchburg, VA 24504-4603 | 2013-05-09 |
| 1457500480 | Elizabeth Anne Wade | Psychiatry & Neurology | 125 Longview Ave, White Plains, NY 10605-2317 | 2008-09-15 |
| 1992899736 | Elizabeth M. Wade | Social Worker | 731 James St, Suite 223, Syracuse, NY 13203-2039 | 2006-10-03 |
| 1730603028 | Elizabeth Wade | Dietitian, Registered | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2017-07-28 |
| 1396118709 | Elizabeth Wade | Counselor | 1560 Sherman Ave, Suite 400, Evanston, IL 60201-4818 | 2015-11-06 |
| 1497169148 | Elizabeth Wade | Specialist | 6565 N Avondale Ave, Chicago, IL 60631-1782 | 2014-06-19 |
| 1194086538 | Elizabeth Ann Wade | Social Worker | 7401 Wiles Rd, Coral Springs, FL 33067-2036 | 2012-06-01 |
| Street Address |
514 E COMMERCE ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487904272 | Counseling Innovation Services LLC | Counselor | 514 E Commerce St, Jacksonville, TX 75766-4910 | 2012-09-19 |
| 1952650251 | Charlene Mccauley Mayfield | Counselor | 514 E Commerce St, Jacksonville, TX 75766-4910 | 2012-08-31 |
| 1386852408 | Billy Wayne Shelton | Psychologist | 514 E Commerce St, Jacksonville, TX 75766-4910 | 2007-05-21 |
| 1427177591 | Beverly Sue Womack | Counselor | 514 E Commerce St, Jacksonville, TX 75766-4910 | 2007-03-28 |
| 1073632162 | C.r.p.s. Inc. | Counselor | 514 E Commerce St, Jacksonville, TX 75766-4910 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1831700848 | Anil Suthar | Counselor | 11776 Wattle Tree Rd N, Jacksonville, FL 32246-9751 | 2020-08-12 |
| 1700496494 | Debra Jones Lewis | Counselor | 2416 Christi Lakes Ct, Jacksonville, FL 32221-3891 | 2020-08-06 |
| 1992356117 | Nicole Wojcik | Counselor | 221 New Bridge St, Jacksonville, NC 28540-4736 | 2019-09-28 |
| 1700435401 | Lori Svendsen Brown | Counselor | 824 Gum Branch Rd Ste 0, Jacksonville, NC 28540-6272 | 2019-09-05 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1144708157 | Anastasia Marie Judge-arauz | Counselor | 187 Howard Rd, Jacksonville, NC 28540-9332 | 2018-08-01 |
| 1720593072 | Cherae Miles | Counselor | 862 Bunker Hill Blvd, Jacksonville, FL 32208-3220 | 2017-12-08 |
| 1083127476 | Heather Watkins | Counselor | 113 Philip St, Jacksonville, TX 75766-3781 | 2017-11-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
Please comment or provide details below to improve the information on ELIZABETH SORRELL WADE.
| 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.