JAQUELINE GALLEGOS (NPI# 1205959277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205959277 |
| Entity Type | Individual |
| Full Name | JAQUELINE GALLEGOS |
| Practice Address |
1300 Coddingtown Ctr Santa Rosa CA 95401-3537 |
| Mailing Address |
513 Chipmunk Ct Santa Rosa CA 95401-5750 |
| Practice Telephone | 7075657641 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
1300 CODDINGTOWN CTR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174659478 | John S. Bowman | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2007-02-23 |
| 1891030326 | James Patrick Alexander | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2012-12-10 |
| 1003151531 | Jose Louis Safont | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2012-12-10 |
| 1649416306 | Claude Tarbe | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2008-12-31 |
| 1194960864 | Lisa Joanne Ellis | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2008-12-10 |
| 1568617447 | Marena Koukis | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2008-11-19 |
| 1235388943 | Alyssa J Morrow | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2008-09-17 |
| 1891961124 | Michael Ingram | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2008-05-06 |
| 1306012661 | Peggy Eva Parish | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2008-05-06 |
| 1417146747 | Carolyn Foust | Counselor | 1300 Coddingtown Ctr, Santa Rosa, CA 95401-3537 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089803 | Joan Colombo | Counselor | 1450 Neotomas Ave, Santa Rosa, CA 95405-7537 | 2020-07-02 |
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1780147538 | Aimee Noelle Krzywicki | Counselor | 2403 Professional Dr Ste 102, Santa Rosa, CA 95403-3007 | 2019-04-09 |
| 1811487903 | Michael Armand Maritzen | Counselor | 2245 Challenger Way # 100, Santa Rosa, CA 95407-5418 | 2018-05-14 |
| 1922520527 | Robert John Lotero | Counselor | 7104 Oak Leaf Dr, Santa Rosa, CA 95409-6028 | 2017-07-14 |
| 1184153728 | Amanda Christina Gomez-hernandez | Counselor | 2400 County Center Dr Ste B, Santa Rosa, CA 95403-3004 | 2017-06-07 |
| 1225577968 | Kari Kenyon | Counselor | 1380 Wright St Apt 8, Santa Rosa, CA 95404-3437 | 2017-02-14 |
| 1013368083 | Stanley Bragg Jr. | Counselor | 6119 Montecito Blvd Apt 12, Santa Rosa, CA 95409-2969 | 2016-06-30 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on JAQUELINE GALLEGOS.
| 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.