JEREMY POLING (NPI# 1962925818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962925818 |
| Entity Type | Individual |
| Full Name | JEREMY POLING |
| Credential | LPC |
| Practice Address |
3617 Buttermilk Creek Rd Rockingham VA 22802-1022 |
| Mailing Address |
5530 Gladeview Dr Bridgewater VA 22812-9701 |
| Practice Telephone | 5408301777 |
| Practice Fax Number | 5404661770 |
| Mailing Telephone | 5408301777 |
| Mailing Fax Number | 5404661770 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701007197 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5530 Gladeview Dr, Bridgewater, VA 228129701 | 5408301777 | 5404661770 |
| Street Address |
3617 BUTTERMILK CREEK RD |
| City | ROCKINGHAM |
| State | VA |
| Zip Code | 22802-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235567884 | Jane Marie Fetterman | Counselor | 1380 Blackberry Lane, Harrisonburg, VA 22802 | 2013-10-17 |
| 1669730552 | Mofolasade Adeyi | Family Medicine | 1840 East Market St, Ne, Harrisonburg, VA 22802 | 2012-04-27 |
| 1750595658 | Atwell Family Chiropractic and Wellness P.l.c. | Chiropractor | 1811 Virginia Ave., Harrisonburg, VA 22802 | 2007-05-09 |
| 1124159504 | Loyd Paul Quillen | Technician/Technologist | 421 North Main St, Quillen Optical, Harrisonburg, VA 22802 | 2007-03-08 |
| 1912044009 | Jennifer Lynn Cline | Counselor | 1181 Smith Avenue, Emu, Harrisonburg, VA 22802 | 2007-01-30 |
| 1245385392 | Kimberly Paige Bickford | Counselor | 1820 Country Club Road, Harrisonburg, VA 22802 | 2007-01-25 |
| 1518029149 | Daniel E Atwell | Chiropractor | 1811 Virginia Avenue, Harrisonburg, VA 22802 | 2006-12-13 |
| 1508964925 | Williamson Drug Company LLC | Pharmacy | 1585 Red Oak St, Harrisonburg, VA 22802 | 2006-09-20 |
| 1104854934 | Joseph Lee Ervin | Chiropractor | 117 North High Street, Harrisonburg, VA 22802 | 2006-06-29 |
| 1780677260 | Courtland Gunn Meyer | Speech-Language Pathologist | Mcnulty Center for Children and Families, 463 E Washington St, Harrisonburg, VA 22802 | 2005-08-30 |
| Find all providers in zip 22802 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429547 | Leslie Richardson | Counselor | 801 E Broad Ave Ste 12, Rockingham, NC 28379-4382 | 2017-10-24 |
| 1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
| 1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
| 1538439153 | Cvl Counseling Services, Pllc | Counselor | 133 N Lawrence St, Rockingham, NC 28379-3602 | 2012-01-12 |
| 1073639142 | Patricia Monroe Powell | Counselor | 108 Walters Ct, Rockingham, NC 28379-7581 | 2007-03-21 |
| 1245391036 | Carolina Behavioral Care | Counselor | 109 Medical Cir Ste A, Rockingham, NC 28379-5221 | 2006-12-13 |
| 1194355495 | Stacey Long Fain | Counselor | 523 Rockingham Rd, Rockingham, NC 28379-3615 | 2020-01-25 |
| 1912540097 | Angela Marie Clifton | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2019-10-22 |
| 1346807377 | Un-bound Counseling Service, Pllc | Counselor | 801 E Broad Ave Ste 12, Rockingham, NC 28379-4382 | 2019-05-24 |
| 1124488325 | April D'tonya Burch | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2016-03-01 |
| Find all providers in ROCKINGHAM | ||||
| City | ROCKINGHAM |
| Zip Code | 22802 |
Please comment or provide details below to improve the information on JEREMY POLING.
| 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.