JELANI JOHNSON-BRISCOE (NPI# 1205231628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205231628 |
| Entity Type | Individual |
| Full Name | JELANI JOHNSON-BRISCOE |
| Practice Address |
300 Ilene St. Martinez CA 94553 |
| Mailing Address |
1239 Halsey Vallejo CA 94590 |
| Practice Telephone | 9253137980 |
| Mailing Telephone | 9259170187 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER'S LICENSE | F7427715 | 01 |
| Street Address |
300 ILENE ST. |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290312 | Jessica Stringfield Edwards | Counselor | 4210 Columbia Rd Ste 1d, Martinez, GA 30907-0436 | 2019-05-14 |
| 1134666480 | Tanya Ellis-asbury | Counselor | 3710 Executive Center Dr Ste B, Martinez, GA 30907-0957 | 2017-01-25 |
| 1083166417 | Donna Still | Counselor | 4434 Columbia Rd, Ste 203, Martinez, GA 30907-4556 | 2016-11-02 |
| 1588019533 | Child Neuro Health and Wellness Center | Counselor | 307 Baston Road, Martinez, GA 30907 | 2016-04-27 |
| 1457721201 | Sharlene Speights | Counselor | 191 Vista Way, Martinez, CA 94553-4051 | 2015-10-05 |
| 1487073052 | Victoria Clark | Counselor | 1319 Brown St, Martinez, CA 94553-1924 | 2014-04-10 |
| 1821343872 | Second Nature Behavioral Health Services, Inc. | Counselor | 307 Oakwood Cir, Martinez, CA 94553-3565 | 2012-07-16 |
| 1104114198 | Leslie Johnson Owen | Counselor | 3711 Executive Center Dr., Suite 101, Martinez, GA 30907 | 2011-07-12 |
| 1548594724 | Tanya Nicole Lorenzi | Counselor | 3925 Roberts Rd, Martinez, GA 30907-2546 | 2009-09-22 |
| 1396987020 | Nicole Ladner-pace | Counselor | 30 Douglas Dr # 234, Martinez, CA 94553-4068 | 2009-03-26 |
| Find all providers in MARTINEZ | ||||
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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.