LINDSEY DEHERRERA (NPI# 1124553052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124553052 |
| Entity Type | Individual |
| Full Name | LINDSEY DEHERRERA |
| Credential | LMFT, M.A. |
| Practice Address |
1126 Gateway Loop Ste 140 Springfield OR 97477-7722 |
| Practice Telephone | 5416323826 |
| Mailing Telephone | 5416323826 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T1467 | OR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 98749 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1126 GATEWAY LOOP STE 140 |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-7722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134512858 | Bonnie Lee Hylton | Counselor | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2015-03-05 |
| 1801419262 | Joselyn Cruz | Counselor | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2020-05-20 |
| 1194367995 | Stephanie A Simons | Social Worker | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2019-10-13 |
| 1881113579 | Lisa Danielle Lucas | Counselor | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2017-09-13 |
| 1962851212 | Mihretu Dessalegne | Counselor | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2016-06-07 |
| 1376903492 | Michele Sa' Nosala | Marriage & Family Therapist | 1126 Gateway Loop Ste 140, Springfield, OR 97477-7722 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| 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 |
|---|---|---|---|---|
| 1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
| 1033655535 | Jeffrey Bentley | Marriage & Family Therapist | 61 Woodlawn St, Springfield, MA 01108-3064 | 2017-01-09 |
| 1366815722 | Megyn Wilson | Marriage & Family Therapist | 575 Shrine Rd, Springfield, OH 45504-3927 | 2015-11-06 |
| 1871928119 | David Brown | Marriage & Family Therapist | 1931 E Cherry St, Springfield, MO 65802 | 2013-09-05 |
| 1013126986 | Kristi Palmer Kaag | Marriage & Family Therapist | 1863 Pioneer Pkwy E, #304, Springfield, OR 97477-3907 | 2007-05-21 |
| 1457569832 | Leslie R Lovestead | Marriage & Family Therapist | 8510 Wild Spruce Dr, Springfield, VA 22153-1800 | 2007-05-18 |
| 1902995467 | Kristin N Ong I | Marriage & Family Therapist | 8000 Forbes Pl, Springfield, VA 22151-2200 | 2006-10-12 |
| 1316048499 | Judith Ellen Ruff | Marriage & Family Therapist | 120 South 11th St, Catholic Charities, Springfield, IL 62703 | 2006-09-25 |
| 1467559187 | Howard Daniel Cameron | Marriage & Family Therapist | 3023 S Fort Ave, Suite B, Springfield, MO 65807-4272 | 2006-09-17 |
| 1457457095 | Carrin Brandt | Marriage & Family Therapist | 7314 Beechwood Dr, Springfield, VA 22153-2336 | 2006-09-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.