MR. JEROME KENNEDY EVANS JR. (NPI# 1205012457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205012457 |
| Entity Type | Individual |
| Full Name | MR. JEROME KENNEDY EVANS JR. |
| Practice Address |
15305 Rayen St North Hills CA 91343-5117 |
| Practice Telephone | 8188923423 |
| Mailing Telephone | 8188923423 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093007437 | Jerome Evans | Audiologist-Hearing Aid Fitter | 21 Spurs Ln Ste 160, San Antonio, TX 78240 | 2011-05-04 |
| 1679592661 | Jerome C Evans | Social Worker | 1300 Dixie Ln S, Saint Petersburg, FL 33707-3914 | 2006-07-19 |
| Street Address |
15305 RAYEN ST |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881793313 | Penny Lane Centers | Case Management | 15305 Rayen St, North Hills, CA 91343-5117 | 2006-09-21 |
| 1669099289 | Jakuta M Ptah | Marriage & Family Therapist | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-06-30 |
| 1609404128 | Kimberly Jimenez | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-03-30 |
| 1134754179 | Leanna Alexis Ramos | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-03-10 |
| 1295369288 | Edwin Javier Olmedo | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-27 |
| 1457985442 | Cristal Torres | Rehabilitation Practitioner | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-27 |
| 1295369411 | Emanuel Huerta Serna | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-02-26 |
| 1558991539 | Eduardo Garcia | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-01-19 |
| 1568002020 | Jaspreet Singh | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2020-01-13 |
| 1720627433 | Jennifer Tobon | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| 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 |
|---|---|---|---|---|
| 1457749244 | Tyler Charles London | Counselor | 15305 Rayen St, North Hills, CA 91343 | 2014-12-31 |
| 1720369747 | Stella Tsang Li | Counselor | 15317 Rayen St, North Hills, CA 91343-5117 | 2011-09-03 |
| 1992961478 | Patrick Galan | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2008-08-04 |
| 1437326618 | Rosalyn Melody Campfield | Counselor | 15302 Rayen St, North Hills, CA 91343-5118 | 2008-05-15 |
| 1063689255 | Patricia Galindo | Counselor | 15302 Rayen St, North Hills, CA 91343-5118 | 2008-05-15 |
| 1447420559 | Jennifer Goodson | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2008-03-04 |
| 1861671539 | Melissa Davis | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2007-10-30 |
| 1538291653 | Marvin Lee Walker | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2007-03-12 |
| 1548391519 | Enid Marcia Draper | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2007-03-08 |
| 1346371903 | Kristie Patton | Counselor | 15305 Rayen St, North Hills, CA 91343-5117 | 2007-03-07 |
| Find all providers in NORTH HILLS | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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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.