IMELDA THOMPSON (NPI# 1134642408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134642408 |
| Entity Type | Individual |
| Full Name | IMELDA THOMPSON |
| Credential | MA MFCC |
| Practice Address |
333 Sunrise Ave Roseville CA 95661-3479 |
| Mailing Address |
6211 Princess Ct Rocklin CA 95765-4769 |
| Practice Telephone | 9167835207 |
| Mailing Telephone | 9162769632 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNSURE | UNSURE | 01 |
| Street Address |
333 SUNRISE AVE |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881724128 | Sarah F York | Counselor | 333 Sunrise Ave, Suite 701, Roseville, CA 95661-3479 | 2007-03-06 |
| 1588228985 | Tanya Hanrihan | Marriage & Family Therapist | 333 Sunrise Ave, Roseville, CA 95661-3479 | 2019-05-01 |
| 1609288174 | Amber Whitley | Counselor | 333 Sunrise Ave, Roseville, CA 95661-3479 | 2014-06-02 |
| 1487995916 | Gillian Meredith | Counselor | 333 Sunrise Ave, Suite 701, Roseville, CA 95661-3479 | 2013-03-07 |
| 1477893568 | Tamara Lynn Lauderdale | Counselor | 333 Sunrise Ave, Suite 701, Roseville, CA 95661-3479 | 2013-02-26 |
| 1679828958 | Stephen Simonson | Counselor | 333 Sunrise Ave, Suite 701, Roseville, CA 95661-3479 | 2012-07-23 |
| 1306111851 | Annmarie Terranova | Counselor | 333 Sunrise Ave, Suite 701, Roseville, CA 95661-3479 | 2012-03-16 |
| 1467722561 | Kathleen Hawkins | Counselor | 333 Sunrise Ave, Suite 701, Roseville, CA 95661-3479 | 2012-01-05 |
| 1225307051 | Janay Swain | Counselor | 333 Sunrise Ave, Roseville, CA 95661-3479 | 2011-12-22 |
| 1841568268 | Darrin James Brown | Counselor | 333 Sunrise Ave, Suite 701, Roseville, CA 95661-3479 | 2011-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1215542154 | Tamara Latrice Butler | Counselor | 27085 Gratiot Ave Ste 108, Roseville, MI 48066-2984 | 2020-09-08 |
| 1245540962 | William Robert Miles | Counselor | 27869 Tighe St, Roseville, MI 48066-3056 | 2010-10-15 |
| 1356429823 | Leslie Tina Hanover | Counselor | 1899 E Roseville Parkway, #140, Roseville, CA 95661 | 2006-11-01 |
| 1295738029 | Todd Michael Sigler | Counselor | 1935 County Road B2 W Ste 270, Roseville, MN 55113-2785 | 2005-05-24 |
| 1760082325 | Ashley Charmagne Jordan | Counselor | 729 Sunrise Ave, Roseville, CA 95661-4565 | 2020-10-31 |
| 1871190371 | Michael Rosenberg | Counselor | 1780 Vernon St Ste 1, Roseville, CA 95678-6311 | 2020-10-07 |
| 1467081810 | Ramzy Samir Shehadeh | Counselor | 1780 Vernon St Ste 1, Roseville, CA 95678-6311 | 2020-04-07 |
| 1891323234 | Caitlynn Maree Puccio | Counselor | 1620 Santa Clara Dr Ste 100, Roseville, CA 95661-3559 | 2020-03-31 |
| 1871148809 | Perri Rose Griffin | Counselor | 406 Sunrise Ave # 300, Roseville, CA 95661-4106 | 2019-08-06 |
| 1336707710 | Mey K Saelee | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-05-31 |
| Find all providers in ROSEVILLE | ||||
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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.