AMBER MARIE WESTPHAL (NPI# 1164943700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164943700 |
Entity Type | Individual |
Full Name | AMBER MARIE WESTPHAL |
Practice Address |
6302 13th Avenue Lucerne CA 95458 |
Mailing Address |
4466 Cedar Avenue Clearlake CA 95422 |
Practice Telephone | 7072749101 |
Enumeration Date | 2017-07-05 |
Last Update Date | 2017-07-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10456-R | CA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6302 13th Avenue, Lucerne, CA 95458 | 7072749101 |
Street Address |
6302 13TH AVENUE |
City | LUCERNE |
State | CA |
Zip Code | 95458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588682991 | Joanne Margaret Rode | Physician Assistant | 6302 13th Avenue, Lucerne, CA 95458 | 2006-07-17 |
1861798225 | Melissa May Hendrick | Case Manager/Care Coordinator | 6302 13th Avenue, Lucerne, CA 95458-0000 | 2011-02-02 |
1326228297 | Diana L Arthur-roe | Case Manager/Care Coordinator | 6302 13th Avenue, Lucerne, CA 95458 | 2007-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619527512 | Shawna Dee Theodorou | Case Manager/Care Coordinator | 6302 Thirteeth Ave, Lucerne, CA 95458 | 2019-09-13 |
1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
1750848396 | Catherine Denise Miller | Case Manager/Care Coordinator | 6302 13 Th Ave, Lucerne, CA 95458 | 2019-03-01 |
1043774193 | Priest Martinez | Counselor | 6300 E Hwy 20 Unit B, Lucerne, CA 95458 | 2019-01-23 |
1700308962 | Joao Adeles Barta | Case Manager/Care Coordinator | 6302 Thirteenth Av., Lucerne, CA 95458 | 2017-07-10 |
1154872737 | Deborah Annette Schmidt | Licensed Vocational Nurse | 6302 13th Ave., Lucerne, CA 95458 | 2016-10-19 |
1922496199 | Pearlina Drummond | Counselor | 3937 Foothill Drive, Lucerne, CA 95458 | 2014-12-22 |
1467881672 | Lucerne Elementary | Local Education Agency (LEA) | 3351 Country Club Drive, Lucerne, CA 95458 | 2013-11-07 |
1003245960 | Hilltop Recovery Services | Substance Abuse Rehabilitation Facility | 3937 Foothill Dr, Lucerne, CA 95458 | 2013-11-01 |
1053618652 | Chris Partida | Counselor | 6302 13th Ave, Lucerne, CA 95458 | 2011-02-16 |
Find all providers in zip 95458 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043774193 | Priest Martinez | Counselor | 6300 E Hwy 20 Unit B, Lucerne, CA 95458 | 2019-01-23 |
1922496199 | Pearlina Drummond | Counselor | 3937 Foothill Drive, Lucerne, CA 95458 | 2014-12-22 |
1053618652 | Chris Partida | Counselor | 6302 13th Ave, Lucerne, CA 95458 | 2011-02-16 |
1093871592 | Robyn Carrie Rosin | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2006-12-29 |
1740743293 | Holly Heather Austinson | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2019-04-11 |
1437652385 | Jennifer Sue Nauert | Counselor | 6300 E. Hwy 20, Lucerne, CA 95458-9545 | 2018-03-16 |
1871034611 | Lonni Nicole Laven | Counselor | 6300 East Highway 20, Lucerne, CA 95458-0316 | 2017-03-13 |
1285180588 | Kelli Cosman | Counselor | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2016-08-28 |
1801255146 | Diana Rose Wilson-simkins | Counselor | 3937 Foothill Dr, Lucerne, CA 95458 | 2016-02-15 |
1922473222 | Melissa Dale | Counselor | 6300 E Highway 20, Lucerne, CA 95458 | 2015-12-11 |
Find all providers in LUCERNE |
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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.