TESS MCCLELLAN (NPI# 1033735881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033735881 |
| Entity Type | Individual |
| Full Name | TESS MCCLELLAN |
| Practice Address |
12625 Hesperia Rd Victorville CA 92395-7720 |
| Practice Telephone | 7602435411 |
| Mailing Telephone | 7602435411 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175T00000X | Peer Specialist | 175T00000X | Other Service Providers | |
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
12625 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679663181 | Jaidev Madgulkar | Social Worker | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2006-10-13 |
| 1336765007 | Holly Marie Croteau | Registered Nurse | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-06-18 |
| 1588287536 | Sandra Martinez | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-05-26 |
| 1235764739 | Deborah Courtney-taylor | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-03-05 |
| 1205461951 | Rose Arcelia Rosas | Counselor | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-03-03 |
| 1083250690 | Tonii Marie Cardoza | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2019-11-19 |
| 1558918680 | Jennifer Greeno | Counselor | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2019-08-22 |
| 1972072387 | Sarah Sue Originales | Licensed Vocational Nurse | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2018-11-14 |
| 1104305879 | Sarah Ann Marroquin | Registered Nurse | 12625 Hesperia Rd, Victorville, CA 92395 | 2018-08-13 |
| 1487174595 | Sarah Elizabeth Moses | Licensed Vocational Nurse | 12625 Hesperia Rd, Victor Valley Behavioral Health Center, Victorville, CA 92395 | 2017-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149532 | Taja Michelle Alexander | Peer Specialist | 12625 Hesperia Rd Ste B, Victorville, CA 92395-7720 | 2019-11-19 |
| 1760080493 | Isaiah Daniel Heller | Peer Specialist | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-10-14 |
| 1083230809 | Erica Richling | Peer Specialist | 12625 Hesperia Rd Ste B, Victorville, CA 92395-7720 | 2020-06-17 |
| 1699322990 | Courtney H Duarte | Peer Specialist | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2019-08-21 |
| 1790239416 | Alberto Vargas | Peer Specialist | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.