JULIA EAGLES (NPI# 1174030613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174030613 |
| Entity Type | Individual |
| Full Name | JULIA EAGLES |
| Credential | MHRS |
| Practice Address |
546 S Main St Fort Bragg CA 95437-5107 |
| Mailing Address |
Po Box 1449 Ukiah CA 95482-1449 |
| Practice Telephone | 7074720350 |
| Mailing Telephone | 7074720350 |
| Mailing Fax Number | 7074720358 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
546 S MAIN ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285577 | Redwood Quality Management Company, Inc. | Case Management | 546 S Main St, Fort Bragg, CA 95437-5107 | 2017-10-05 |
| 1487284980 | John Clarendon Worthington | Registered Nurse | 546 S Main St, Fort Bragg, CA 95437-5107 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| 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 |
|---|---|---|---|---|
| 1972152304 | Ayanna Gray | Counselor | 544 S Main St Unit B, Fort Bragg, CA 95437-5107 | 2019-09-09 |
| 1598281065 | Lanette Gordon | Counselor | 544 S Main St # B, Fort Bragg, CA 95437-5107 | 2017-08-16 |
| 1811413388 | Rebecca Britton | Counselor | 544 S Main St Unit A, Fort Bragg, CA 95437-5107 | 2017-08-16 |
| 1720518897 | Josie Drake | Counselor | 544 S Main St Ste B, Fort Bragg, CA 95437-5107 | 2017-06-12 |
| 1386943421 | Sincere Salam Hasan-hussein | Counselor | Wamc 2817 Reiley Rd, Fort Bragg, NC 28310-0001 | 2011-03-15 |
| 1639727985 | Amber Lopes | Counselor | 32670 Highway 20 Unit 2, Fort Bragg, CA 95437-5708 | 2019-08-29 |
| 1801354451 | Joeann Perdue | Counselor | 32670 Highway 20, Fort Bragg, CA 95437-5708 | 2019-03-03 |
| 1265926133 | Amber Joy Steele | Counselor | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2018-06-14 |
| 1073000709 | Marcella Evelyn Deniz | Counselor | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2018-04-18 |
| 1083119507 | Laurel Lemohn | Counselor | 544 S Main St Ste B, Fort Bragg, CA 95437-5107 | 2018-03-27 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on JULIA EAGLES.
| 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.