MR. DWAYNE ROOSEVELT KEITH (NPI# 1023455789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023455789 |
| Entity Type | Individual |
| Full Name | MR. DWAYNE ROOSEVELT KEITH |
| Practice Address |
314 W Magnolia St Compton CA 90220-2104 |
| Practice Telephone | 3105314963 |
| Mailing Telephone | 3105314963 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
314 W MAGNOLIA ST |
| City | COMPTON |
| State | CA |
| Zip Code | 90220-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490925 | Vivian Carolina Cariat | Interpreter | 2499 S. Wilmington Ave., Compton, CA 90220 | 2017-11-09 |
| 1366971632 | Bradlisia Dixon | Marriage & Family Therapist | 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 | 2017-06-08 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1134466709 | Compassion Care Center | Clinic/Center | 601 S. Arcacia Ave., Compton, CA 90220 | 2013-01-15 |
| 1881931905 | Compassion Care Center, Inc. | Clinic/Center | 900 W. Grenleaf Ave., Compton, CA 90220 | 2013-01-09 |
| 1699033902 | Crittenton Children Andfamily Services | Community/Behavioral Health | 2939 East Pacific Commerce Drive, Rancho Dominguez, CA 90220 | 2012-04-25 |
| 1285909226 | Talatu Peters Oyefeso | Physician Assistant | 701 S. Sante Fe Ave. #5194, Compton, CA 90220 | 2012-03-08 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| Find all providers in zip 90220 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265793954 | Brianna Faronda Prater | Counselor | 829 W 132nd St, Compton, CA 90222-2032 | 2012-05-30 |
| 1851666275 | U-turn Alcohol & Drug Education Program, Inc. | Counselor | 1200 E Alondra Blvd, Room 102, Compton, CA 90221-4306 | 2012-03-19 |
| 1235403668 | U-turn Alcohol & Drug Education Program, Inc,. | Counselor | 14401 S Gibson Ave, Room 37, Compton, CA 90221-2514 | 2012-03-02 |
| 1700184074 | Sara Johnson | Counselor | 415 S Keene Ave, Compton, CA 90220-2643 | 2011-03-10 |
| 1760788756 | Jodi Zubrycky | Counselor | 1228 E Compton Blvd, Compton, CA 90221-3310 | 2011-02-08 |
| 1780988964 | Ashley Trimble | Counselor | 14818 S Frailey Ave, Compton, CA 90221-3120 | 2011-01-03 |
| 1740470285 | Cecelia Freeman | Counselor | 1330 S Long Beach Blvd, Compton, CA 90221-5027 | 2007-07-31 |
| 1194869289 | Tasha Nicole Worthy | Counselor | 1085 Victoria Ave., Compton, CA 90220 | 2007-02-20 |
| 1295109056 | Linah Zayed | Counselor | 12206 S Wilmington Ave, Compton, CA 90222-1283 | 2015-11-17 |
| 1235519000 | Mirella Jimenez | Counselor | 3221 N Alameda St, Compton, CA 90222-1433 | 2015-06-05 |
| Find all providers in COMPTON | ||||
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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.