MISS VANESSA ELAYNE FARRIOR I (NPI# 1013494749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013494749 |
Entity Type | Individual |
Full Name | MISS VANESSA ELAYNE FARRIOR I |
Credential | ASW |
Practice Address |
4990 Williams Ave La Mesa CA 91942-7409 |
Practice Telephone | 6196684200 |
Practice Fax Number | 6196981665 |
Mailing Telephone | 6196684200 |
Mailing Fax Number | 6196981665 |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-10-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
4990 WILLIAMS AVE |
City | LA MESA |
State | CA |
Zip Code | 91942-7409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891833125 | Vista Hill Foundation | Community/Behavioral Health | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2007-02-01 |
1851935019 | Kimberly Brown | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2019-10-31 |
1366093429 | Ashley Daye Anderson | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2019-09-20 |
1164084257 | Lena Pargo | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2019-06-28 |
1114583010 | Laurie Alcaraz | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2019-05-15 |
1235604505 | Angelena Swift | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2018-10-12 |
1588139794 | Takeenya Shontelle Hill | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2018-10-04 |
1538640438 | Ashlee Nicole Alfonso | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2018-08-28 |
1508343054 | Donna Lynn Morgan | Registered Nurse | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2018-07-26 |
1598251829 | Anat Mor Betzalel | Counselor | 4990 Williams Ave, La Mesa, CA 91942-7409 | 2018-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
Find all providers in zip 91942 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538655220 | Steven Eduardo Granados | Counselor | 3845 Avocado Road, La Mesa, CA 91941-7319 | 2018-07-05 |
1033659941 | Sofia Gabrielle Beltran | Counselor | 7614 Parkway Dr Apt 2p, La Mesa, CA 91942-1735 | 2017-02-27 |
1790142875 | Vikki Bouck | Counselor | 3665 Avocado Village Ct, Unit 165, La Mesa, CA 91941-7375 | 2016-01-20 |
1497138903 | Elise Carolyn Tisdale Donahue | Counselor | 5860 Kappa St, La Mesa, CA 91942-2823 | 2015-07-01 |
1518123215 | Galina Trofimovna Storozhenko | Counselor | 5700 Cowles Mountain Blvd # I-204, La Mesa, CA 91942-1900 | 2008-08-01 |
1104095629 | Anthony Saulisberry | Counselor | 3845 Avocado School Rd, La Mesa, CA 91941-7319 | 2008-02-28 |
1801925052 | Jamal Natuku Mcrae | Counselor | 8564 Echo Dr Apt 18, La Mesa, CA 91941-6665 | 2007-03-05 |
1801947957 | Julie Hayden | Counselor | 7373 University Ave Ste 113, La Mesa, CA 91942-0523 | 2007-01-16 |
1700943834 | Charles Raymond Gregg | Counselor | 4350 Palm Ave # 10, La Mesa, CA 91941-6505 | 2007-01-01 |
1689759631 | Toby S Hartman | Counselor | 4350 Palm Ave, Ste 16, La Mesa, CA 91941-6505 | 2006-10-26 |
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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.