STEPHANIE VON DER LIETH (NPI# 1225390198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225390198 |
| Entity Type | Individual |
| Full Name | STEPHANIE VON DER LIETH |
| Practice Address |
3727 Sunset Ln Antioch CA 94509-6134 |
| Practice Telephone | 9257781667 |
| Mailing Telephone | 9257781667 |
| Mailing Fax Number | 9257782820 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1341 Vine Ave, Martinez, CA 945532035 | 9257267432 |
| Street Address |
3727 SUNSET LN |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932390093 | Community Health for Asian Americans | Community/Behavioral Health | 3727 Sunset Ln, Suite 110, Antioch, CA 94509-6134 | 2007-08-05 |
| 1346760527 | Morgan Richard Shepherd | Marriage & Family Therapist | 3727 Sunset Ln, Antioch, CA 94509-6134 | 2017-06-20 |
| 1003288655 | Sacheen Thompson | Counselor | 3727 Sunset Ln, Ste 210, Antioch, CA 94509-6134 | 2015-10-22 |
| 1316331275 | Jasper Mather | Counselor | 3727 Sunset Ln, 210, Antioch, CA 94509-6134 | 2015-03-27 |
| 1285025668 | Angelica Rossi | Marriage & Family Therapist | 3727 Sunset Ln, Antioch, CA 94509-6134 | 2015-02-06 |
| 1609284272 | Emily Elizabeth Downey | Social Worker | 3727 Sunset Ln, Suite 210, Antioch, CA 94509-6134 | 2014-07-28 |
| 1699046714 | Cynthia C White | Behavioral Analyst | 3727 Sunset Ln, Suite 210, Antioch, CA 94509-6134 | 2012-01-20 |
| 1558678961 | John Nicholas Moriana | Counselor | 3727 Sunset Ln, Antioch, CA 94509-6134 | 2010-09-07 |
| 1629004551 | United Sleep Centers, LLC | Technician, Other | 3727 Sunset Ln, #100, Antioch, CA 94509-6101 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699648 | Khamaria Wright | Counselor | 5160 Rice Rd Apt 236, Antioch, TN 37013-2041 | 2020-08-13 |
| 1316562580 | Joseph James Benton | Counselor | 2495 Vallecito Way, Antioch, CA 94531-9066 | 2020-06-12 |
| 1902381593 | New Leaf Counseling LLC | Counselor | 311 W Depot St Ste F, Antioch, IL 60002-1500 | 2018-09-28 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| 1629420013 | Jessica Rivers | Counselor | 1480 Rice Hill Cir, Antioch, TN 37013-2199 | 2016-07-08 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1376909341 | Toy Lisa Mitchell | Counselor | 4804 Trappers Rdg, Antioch, TN 37013-2707 | 2016-01-06 |
| 1386019602 | Abdullah Hassaan | Counselor | 3304 Timber Trl, Antioch, TN 37013-1011 | 2015-12-11 |
| 1114399219 | Glory Kosmatka | Counselor | 800 Main St Ste 5, Antioch, IL 60002-1542 | 2015-10-28 |
| 1528459344 | Jared Prentiss | Counselor | 5320 Hickory Hollow Pkwy, Antioch, TN 37013-3128 | 2015-02-16 |
| Find all providers in ANTIOCH | ||||
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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.