KENDRICK WALLACE (NPI# 1043413156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043413156 |
| Entity Type | Individual |
| Full Name | KENDRICK WALLACE |
| Credential | B.A. |
| Practice Address |
940 Avenue 64 Pasadena CA 91105-2711 |
| Practice Telephone | 3232542274 |
| Mailing Telephone | 3232542274 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851764534 | Kendrick Wallace | Counselor | 1044 Gilbert St, Flint, MI 48532-3527 | 2015-11-04 |
| Street Address |
940 AVENUE 64 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860039 | Robert R. Howard | Social Worker | 940 Avenue 64, Pasadena, CA 91105-2711 | 2006-10-26 |
| 1225639453 | Cinnamon Raykel Mccellen | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-11-04 |
| 1285234401 | Paulette Koss | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1497355614 | Taqwa Ramadan | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1801496013 | Tiffany Rose Garcia | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1518566728 | Courtney Bre'ann Oaties | Licensed Vocational Nurse | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-19 |
| 1598364713 | Anna Darlene Roberts | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-19 |
| 1861009078 | Bianca J Russell | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| 1609483817 | Estephany Olivos | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| 1417564626 | Raul Carreon | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376725341 | Laurie Graham | Rehabilitation Counselor | 3915 South Shaver St, Pasadena, TX 77504 | 2007-12-03 |
| 1235747189 | Izbieta Rocha | Rehabilitation Counselor | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2020-07-16 |
| 1528610706 | Lilit Hovsepyan | Rehabilitation Counselor | 1460 N Lake Ave, Pasadena, CA 91104-2300 | 2019-07-09 |
| 1437643939 | Joseph Jerry Armendarez | Rehabilitation Counselor | 2550 E Foothill Blvd, Pasadena, CA 91107 | 2018-06-18 |
| 1376036772 | Andrew Hartwig Miller | Rehabilitation Counselor | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2018-06-11 |
| 1932627270 | David Dzhrnazyan | Rehabilitation Counselor | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2017-09-07 |
| 1841718095 | Chin He Bae | Rehabilitation Counselor | 2550 E Foothill Blvd, Pasadena, CA 91107 | 2017-09-07 |
| 1659740108 | Naomi Leah Mckenzie | Rehabilitation Counselor | 2550 E Foothill Blvd, Pasadena, CA 91107-3406 | 2015-09-15 |
| 1649671314 | Jean Thomas | Rehabilitation Counselor | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2014-09-11 |
| 1790026144 | Jason Lemuel Hopkins | Rehabilitation Counselor | 940 Avenue 64, Pasadena, CA 91105-2711 | 2013-03-11 |
| Find all providers in PASADENA | ||||
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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.