REBECCA ELLEN CRAIG (NPI# 1114360732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114360732 |
Entity Type | Individual |
Full Name | REBECCA ELLEN CRAIG |
Other Name | B/T CRAIG |
Credential | LPCC |
Practice Address |
140 Gibson St Ukiah CA 95482-3941 |
Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
Practice Telephone | 7074685536 |
Mailing Telephone | 7074722922 |
Enumeration Date | 2013-04-12 |
Last Update Date | 2017-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
LPCC4505 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538309158 | Rebecca E Craig | Speech-Language Pathologist | 203 S Sherman St, Clinton, IL 61727-2527 | 2009-02-22 |
1326542697 | Rebecca Craig | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2018-03-21 |
1558872556 | Rebecca Craig | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2017-10-17 |
1699078105 | Rebecca Craig | Technician | 1325 Airmotive Way, Reno, NV 89502-3201 | 2010-12-06 |
1508023508 | Rebecca Rotello Craig | Pediatrics | 2211 Lomas Blvd Ne, University of New Mexico, General Pediatrics Clinic, Albuquerque, NM 87106-2745 | 2008-05-19 |
1437378924 | Rebecca Jill Craig | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-04-24 |
1699829309 | Rebecca I Craig | Counselor | 242 West Shamrock Street, Pineville, LA 71360-0473 | 2007-01-22 |
1205945383 | Rebecca Jane Craig | Obstetrics & Gynecology | 300 S 8th St Ste 203e, Murray, KY 42071-2400 | 2006-08-30 |
1891729257 | Rebecca J Craig | Nurse Practitioner | 5035 Via Delray, Delray Beach, FL 33484-1315 | 2006-07-10 |
1720023906 | Rebecca A. Craig | Internal Medicine | 1221 Pleasant St, Ste 200, Des Moines, IA 50309-1423 | 2006-06-19 |
Street Address |
140 GIBSON ST |
City | UKIAH |
State | CA |
Zip Code | 95482-3941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730229675 | Carmen J Harris | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2007-02-08 |
1326656299 | Ruby Sanchez Montiel | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2020-07-16 |
1497397178 | Karl Weaver | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2019-10-14 |
1689237125 | Coni Shepard | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2019-04-19 |
1366929929 | Ashley Hall | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2018-07-25 |
1861989865 | Keith Vidra | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2018-04-16 |
1548763436 | Melinda Kerr | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2018-03-16 |
1356854368 | Christine Hawley | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2017-11-13 |
1235658899 | Jenna Saraceno | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2017-09-14 |
1437682234 | Sierra Goeken | Counselor | 140 Gibson St, Ukiah, CA 95482-3941 | 2017-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
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Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992132757 | Teresa Love Wilson | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2013-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
1548860497 | Roger A Thrush | Counselor | 7777 Alvarado Rd Ste 257, La Mesa, CA 91942-8318 | 2020-10-29 |
1891395026 | Hayley Nasrallah | Counselor | 11712 Moorpark St Ste 101, Studio City, CA 91604-2155 | 2020-10-27 |
1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
1821605379 | Jacquelan Addesan King | Counselor | 124 5th St Apt A, Seal Beach, CA 90740-8000 | 2020-09-29 |
1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
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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.