JESSICA CONRAD (NPI# 1992045934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992045934 |
| Entity Type | Individual |
| Full Name | JESSICA CONRAD |
| Credential | MLADC, LCMHC |
| Practice Address |
464 Chestnut St Manchester NH 03101-1804 |
| Mailing Address |
Po Box 448 Manchester NH 03105-0448 |
| Practice Telephone | 6035184000 |
| Practice Fax Number | 6036686260 |
| Mailing Telephone | 6035184000 |
| Mailing Fax Number | 6036686260 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2014-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0893 | NH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1049 | NH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1780913251 | Jessica Conrad | Doula | 230 Saint James Pl Apt 4a, Brooklyn, NY 11238-2367 | 2009-12-13 |
| 1821189176 | Jessica N Conrad | Dental Hygienist | 760 Us Hwy 206, Ste 2, Hillsborough, NJ 08844-1506 | 2006-09-28 |
| 1194211276 | Jessica Conrad | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2018-07-02 |
| 1962857680 | Jessica Ann Conrad | Registered Nurse | 4050 Bridge View Dr, Suite 600, North Charleston, SC 29405-7488 | 2016-05-02 |
| 1992103865 | Jessica Conrad | Counselor | 365 Kuck Ln, Petaluma, CA 94952-9606 | 2014-12-09 |
| 1316986417 | Jessica Conrad | Nurse Practitioner | 150 Infirmary Way, Amherst, MA 01003-9288 | 2006-06-05 |
| Street Address |
464 CHESTNUT ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780736504 | Waypoint | Home Health Aide | 464 Chestnut St, Manchester, NH 03101-1804 | 2007-01-18 |
| 1578031712 | Christopher William Freddo | Counselor | 464 Chestnut St, Manchester, NH 03101-1804 | 2018-11-06 |
| 1780173856 | Julie Aviva Barbick | Social Worker | 464 Chestnut St, Manchester, NH 03101-1804 | 2018-05-04 |
| 1700391919 | Melissa A Davis | Counselor | 464 Chestnut St, Manchester, NH 03101-1804 | 2017-12-11 |
| 1619324506 | Jennifer L Brooks | Social Worker | 464 Chestnut St, Manchester, NH 03101-1804 | 2016-05-20 |
| 1437562998 | Ryan Barrieau | Counselor | 464 Chestnut St, Manchester, NH 03101-1804 | 2014-06-03 |
| 1134464019 | Jennifer Chisholm | Counselor | 464 Chestnut St, Manchester, NH 03101-1804 | 2012-12-04 |
| 1457656027 | Stephanie Jalbert Emmons | Social Worker | 464 Chestnut St, Manchester, NH 03101-1804 | 2011-01-12 |
| 1356526222 | E. Marie Opie Williams | Counselor | 464 Chestnut St, Manchester, NH 03101-1804 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891843 | Faithanne Blue | Counselor | 60 Rogers St Unit 1, Manchester, NH 03103-5070 | 2020-11-05 |
| 1073129367 | Deborah Lynn Bowles-lee | Counselor | 1541 Sainville Rd, Manchester, TN 37355-6248 | 2020-09-22 |
| 1477199081 | Helping Hands Outreach Ministries, Inc. | Counselor | 50 Lowell St, Manchester, NH 03101-1635 | 2019-11-19 |
| 1710538673 | Samantha Corinne Boutsianis | Counselor | 206 Jewett St Apt 2b, Manchester, NH 03103-2879 | 2019-09-23 |
| 1306493531 | Mackenzie Ryan Seely | Counselor | 293 Wilson Street, 3rd Floor, Manchester, NH 03103-5021 | 2019-08-22 |
| 1174178743 | Melissa Ann Kimball | Counselor | 60 Rogers St Unit 204, Manchester, NH 03103-5070 | 2019-08-09 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1629639034 | Mano-en-mano Hand In Hand,llc | Counselor | 843 Main St Ste 10, Manchester, CT 06040-6041 | 2019-06-26 |
| 1619432994 | Michelle Lee Poulin | Counselor | 303 Belmont St, Manchester, NH 03103-4311 | 2019-01-31 |
| 1770056632 | Joan Catharine Sementa | Counselor | Sununu Youth Center, 1056 River Road, Manchester, NH 03104-0305 | 2019-01-03 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
Please comment or provide details below to improve the information on JESSICA CONRAD.
| 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.