JUSTIN WIRTH (NPI# 1154829042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154829042 |
| Entity Type | Individual |
| Full Name | JUSTIN WIRTH |
| Practice Address |
Rebekah Childrens Services 290 Ioof Ave Gilroy CA 95020 |
| Practice Telephone | 4088462100 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| 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 | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Street Address |
REBEKAH CHILDRENS SERVICES 290 IOOF AVE |
| City | GILROY |
| State | CA |
| Zip Code | 95020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| 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 |
|---|---|---|---|---|
| 1720640238 | Cherie Dawn Somavia | Marriage & Family Therapist | 8339 Church St Ste 206, Gilroy, CA 95020-4450 | 2019-07-03 |
| 1093235178 | Kasi Hernandez | Marriage & Family Therapist | 290 1oof Avenue, Gilroy, CA 95020 | 2017-06-21 |
| 1861830580 | Christine Angelica Del Real | Marriage & Family Therapist | 7937 Spanish Oak Cir, Gilroy, CA 95020-2539 | 2013-06-05 |
| 1730379587 | Tara Renae Mckinney | Marriage & Family Therapist | 66 1st St Ste 8, Gilroy, CA 95020-5140 | 2007-07-27 |
| 1073689758 | Sonia Alejandra Terra | Marriage & Family Therapist | 7275 Lahinch Ct, Gilroy, CA 95020-3055 | 2006-11-27 |
| 1801960521 | Babette L. Holiday | Marriage & Family Therapist | 7877 Wren Ave., Suite A, Gilroy, CA 95020 | 2006-11-17 |
| 1699852889 | Sheri Lynn Russell | Marriage & Family Therapist | 7877 Wren Ave Ste A, Gilroy, CA 95020-4980 | 2006-11-01 |
| 1457438137 | Kristen Wright | Marriage & Family Therapist | 8352 Church St Ste C, Gilroy, CA 95020-4400 | 2006-11-01 |
| 1093820458 | Angela Valeriano Fowler | Marriage & Family Therapist | 8339 Church St, Ste. 105, Gilroy, CA 95020-4453 | 2006-08-19 |
| 1609487602 | Justin Azevedo | Marriage & Family Therapist | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-08-12 |
| Find all providers in GILROY | ||||
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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.