MS. JACQUELINE EYERLY (NPI# 1063649135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063649135 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE EYERLY |
| Other Name | PROF. JACQUELINE EYERLY |
| Credential | M.A;M.S;LMFT;LPCC |
| Practice Address |
437 N Hoover St Los Angeles CA 90004-2306 |
| Mailing Address |
1748 Hill St Santa Monica CA 90405-4844 |
| Practice Telephone | 3236442030 |
| Mailing Telephone | 3236442030 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
LPCC#675 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MFC49003 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIORAL SCIENCES | LPCC#675 | 01 |
| CA | BOARD OF BEHAVIORAL SCIENCES | MFC#49003 | 01 |
| CA | LICENSED MARRIAGE & FAMILY THERAPIST | MFC#49003 | 01 |
| CA | LICENSED PROFESSIONAL CLINICAL COUNSELOR | LPCC#675 | 01 |
| Street Address |
437 N HOOVER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770634214 | Brett Dean Morana | Psychologist | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2007-01-12 |
| 1407403215 | David Morales | Rehabilitation Practitioner | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2019-08-26 |
| 1679043103 | Rashinea Saire Akbar-davis | Rehabilitation Practitioner | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2018-11-27 |
| 1427550458 | Ashley Tierra Tucker | Rehabilitation Practitioner | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2018-03-06 |
| 1457859464 | Sam Arinze Okibe | Student in an Organized Health Care Education/Training Program | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2018-01-24 |
| 1235656463 | Laura Smith | Rehabilitation Practitioner | 437 N Hoover St, Los Angeles, CA 90004 | 2017-08-28 |
| 1063963882 | Melissa Domonique Colon | Licensed Psychiatric Technician | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2016-10-17 |
| 1023561099 | Gerardo Acosta | Licensed Psychiatric Technician | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2016-07-26 |
| 1194184838 | Kendra Rayshawn Watson | Licensed Vocational Nurse | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2016-02-22 |
| 1619315405 | Mireya Garcia | Licensed Vocational Nurse | 437 N Hoover St, Los Angeles, CA 90004-2306 | 2013-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
| 1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
| 1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
| 1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
| 1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
| 1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
| 1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
| 1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
Please comment or provide details below to improve the information on MS. JACQUELINE EYERLY.
| 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.