JESSIE TATE (NPI# 1114110368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114110368 |
| Entity Type | Individual |
| Full Name | JESSIE TATE |
| Practice Address |
4501 Taft Ave Richmond CA 94804-3449 |
| Practice Telephone | 5102353172 |
| Practice Fax Number | 5102350755 |
| Mailing Telephone | 5102353172 |
| Mailing Fax Number | 5102350755 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760849756 | Jessie Tate | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2016-01-21 |
| Street Address |
4501 TAFT AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760681100 | R & R Educational Homes | Counselor | 4501 Taft Ave, Richmond, CA 94804-3449 | 2007-07-16 |
| 1225326598 | R&r Educational Homes | Residential Treatment Facility, Emotionally Disturbed Children | 4501 Taft Ave, 4244 Wall Ave., Richmond, CA 94804-3449 | 2011-07-20 |
| 1720373939 | Justin Manuel Amaral | Residential Treatment Facility, Emotionally Disturbed Children | 4501 Taft Ave, Richmond, CA 94804-3449 | 2011-06-15 |
| 1811297773 | Christina Cotton | Social Worker | 4501 Taft Ave, Richmond, CA 94804-3449 | 2010-10-26 |
| 1952599847 | Kasara Ann Ashford | Counselor | 4501 Taft Ave, Richmond, CA 94804-3449 | 2007-10-04 |
| 1386835189 | Jason Newell | Counselor | 4501 Taft Ave, Richmond, CA 94804-3449 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| 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 |
|---|---|---|---|---|
| 1326662693 | Erneshela Perry Crute | Counselor | 1017 Hioaks Rd Apt 321, Richmond, VA 23225-4002 | 2020-06-03 |
| 1699301929 | Shaniece Inez Buffington | Counselor | 5215 Bayview Ave, Richmond, CA 94804-4909 | 2020-03-18 |
| 1588295232 | Miriam Ruth Bott | Counselor | 6802 Paragon Pl Ste 525, Richmond, VA 23230-1659 | 2020-01-31 |
| 1588202527 | Kanya N Ford | Counselor | 6325 Windcroft Rd, Richmond, VA 23225-6842 | 2019-12-19 |
| 1780220947 | Cassie Renae Grochett | Counselor | 7790 W Grand Pkwy S Ste 103, Richmond, TX 77406-5830 | 2019-11-22 |
| 1558902858 | Myles Posey-osborne | Counselor | 2847 Shane Dr, Richmond, CA 94806-2657 | 2019-10-08 |
| 1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
| 1396203204 | Courtney Cooper | Counselor | 11 S 12th St Ste 520, Richmond, VA 23219-4053 | 2019-03-10 |
| 1851855027 | Martin Lee Mccrary | Counselor | 108 Wn Main, Richmond, MO 64085 | 2019-01-22 |
| 1558836130 | Samantha Tingen Grimes | Counselor | 6704 N Grand Brook Cir, Richmond, VA 23225-4159 | 2018-10-10 |
| Find all providers in RICHMOND | ||||
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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.