JAIMIE R. LANDSEADEL (NPI# 1083212542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083212542 |
| Entity Type | Individual |
| Full Name | JAIMIE R. LANDSEADEL |
| Other Name | JAIMIE R. LANDSEADEL |
| Practice Address |
4942 E Yale Ave Ste 103 Fresno CA 93727-1572 |
| Mailing Address |
704 W Fountain Way Fresno CA 93705-2845 |
| Practice Telephone | 5597212106 |
| Mailing Telephone | 5597212106 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers |
| Street Address |
4942 E YALE AVE STE 103 |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023253218 | Michael David Todd | Counselor | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2008-12-03 |
| 1316545874 | Tolulope A Adekunjo | Counselor | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2020-10-15 |
| 1518565084 | Daniel Cuellar | Case Manager/Care Coordinator | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2020-10-15 |
| 1578161048 | Dillard Berry | Case Manager/Care Coordinator | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2020-10-15 |
| 1356954150 | Lisa Anne Gonzales | Counselor | 4942 E Yale Ave Ste 103, Fresno, CA 93727-1572 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| 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 |
|---|---|---|---|---|
| 1710592621 | Marcus Zachary, D.o., P.C. | Counselor | 7111 N Fresno St Ste 200, Fresno, CA 93720-2959 | 2020-09-09 |
| 1871110932 | The Fresno Center | Counselor | 4891 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-07-06 |
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1679123723 | Sandy Ounmano | Counselor | 4855 E King Cyn Rd, Fresno, CA 93727-3811 | 2019-09-19 |
| 1609422815 | Alicia Becton | Counselor | 7110 W San Bruno Ave, Fresno, CA 93723-4069 | 2019-08-13 |
| 1053963645 | Stephanie Elizabeth Trevino | Counselor | 5162 E Braly Ave, Fresno, CA 93727-5906 | 2019-07-12 |
| 1386204691 | Giovanni Ismael Arreaga | Counselor | 4411 E Kings Canyon Rd # 310, Fresno, CA 93702-3604 | 2019-06-18 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1235607409 | Sandra Elizabeth Valle | Counselor | 496 South Barton Avenue, Fresno, CA 93750-0001 | 2018-11-06 |
| Find all providers in FRESNO | ||||
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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.