Jeannette Theresa Arias-Flynn, MS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LPC 787-125 Issued in WI

Practice address

100 County Rd B
Behavioral Health Shawano
Shawano, WI 54166-7072

Phone

(920) 720-2300

Fax

(920) 720-3806

NPI assigned

Oct 16, 2006

Last updated

Jun 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Ms. 'Jay' T Arias-Flynn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1831279694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521115",
            "telephone_number": "920-720-3700",
            "fax_number": "920-720-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY RD B",
            "address_2": "BEHAVIORAL HEALTH SHAWANO",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541667072",
            "telephone_number": "920-720-2300",
            "fax_number": "920-720-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS-FLYNN",
        "first_name": "JEANNETTE",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "787125",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "787-125",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "LPC 787-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "'JAY'",
            "last_name": "ARIAS-FLYNN",
            "middle_name": "T",
            "prefix": "MS.",
            "credential": "MS, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Manali Amin
• Renee Anderson, PT
• Christa M Andrews-Fike, MD
• Sean Angle, DPT
• Appleton Audiology Associates, LLC (Hearing Services of Wisconsin)
• Ashley Walsh and Associates, LLC (Walsh Dental Group)
• Aurora Medical Group, Inc. (Aurora Health Center Shawano)
• Amanda E Baddmoccosin-Barnes, LCSW
• Kerry L Baird, APNP
• Heather Lynn Bannister, PTA

• Social Worker in Shawano, WI
• Providers in Shawano, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.