FREE AT LAST CENTER (NPI# 1063849735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063849735 |
| Entity Type | Organization |
| Organization Name | FREE AT LAST CENTER |
| Practice Address |
1796 Bay Rd East Palo Alto CA 94303-1611 |
| Practice Telephone | 6504626999 |
| Practice Fax Number | 6504621055 |
| Mailing Telephone | 6504626999 |
| Mailing Fax Number | 6504621055 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | ELIZABETH CHEWNING (PROGRAM ADMINISTRATION) |
| Authorized Official Telephone | 6504626995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 410027IN | CA | Agencies |
| Y | 101Y00000X | Counselor | 410027IN | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REHABILITATION SERVICES | 410027IN | 01 |
| Street Address |
1796 BAY RD |
| City | EAST PALO ALTO |
| State | CA |
| Zip Code | 94303-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336463397 | Randolph Chambers | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2010-03-19 |
| 1588053342 | Toni Louise Jackson | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2015-01-16 |
| 1275969438 | Susan Cortopassi | Behavioral Analyst | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2013-09-19 |
| 1851636096 | Candy Renee Howard | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2012-11-28 |
| 1821357260 | Gerardo Barragan | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2012-05-04 |
| 1831467422 | Renee Vaughn | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2011-12-09 |
| 1679868715 | Free At Last:community Recovery and Rehabilitation Services | Substance Abuse Rehabilitation Facility | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| 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 |
|---|---|---|---|---|
| 1134644925 | Natalia Olave | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2017-08-14 |
| 1669808416 | Adam C Janson | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2013-09-24 |
| 1831467422 | Renee Vaughn | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2011-12-09 |
| 1508149469 | Gene Raymond Neely | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2011-09-27 |
| 1538455035 | Susan Marie Rand-baker | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2011-06-22 |
| 1073808978 | Dominic Anthony Solis | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | EAST PALO ALTO |
| Zip Code | 94303 |
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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.