SERENITY JOURNEY COUNSELING CENTER LLC (NPI# 1225635501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225635501 |
| Entity Type | Organization |
| Organization Name | SERENITY JOURNEY COUNSELING CENTER LLC |
| Practice Address |
155 N Riverview Dr Ste 112 Anaheim CA 92808-1225 |
| Practice Telephone | 7144225773 |
| Practice Fax Number | 7142029870 |
| Mailing Telephone | 7146834870 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MRS. IXCHEL TELLEZ FONSECA (LICENSED MARRIAGE FAMILY THERAPIST) |
| Authorized Official Telephone | 7144225773 |
| Authorized Official Credential | PSY.D, LMFT, CAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
155 N RIVERVIEW DR STE 112 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92808-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861970378 | Rebeca Martinez-higareda | Specialist/Technologist | 140 S. Chaparral Ct., Suite 110, Anaheim Hills, CA 92808 | 2018-08-06 |
| 1558875450 | Latshikyan Dental Corporation | Dentist | 8162 E Santa Ana Canyon Rd Suite 104, Anahein, CA 92808 | 2017-11-30 |
| 1083153266 | Jennifer Becker | Social Worker | 1368 S Country Glen Way, Anaheim, CA 92808 | 2017-02-21 |
| 1235573304 | Suzanne Renee Molera | Specialist/Technologist | 160 Old Springs Rd., Ste. 100, Anaheim Hills Speech and Language Center, Anaheim Hills, CA 92808 | 2013-04-19 |
| 1346559317 | Bernadette Pamulo Gonzales | Nurse Practitioner | 197 N. Mohler Drive, Anaheim Hills, CA 92808 | 2010-09-24 |
| 1437485653 | Rebecca M. Maravilla, Od, Inc. | Optometrist | 781 S. Weir Canyon Road, Suite 195, Anaheim, CA 92808 | 2009-10-22 |
| 1710142153 | Chris T Nguyen | Dentist | 911 South Brianna Way, Anaheim, CA 92808 | 2008-07-24 |
| 1619174331 | Raymond Warner | Social Worker | 1900 E. 4th Street, 2nd Floor, Anaheim, CA 92808 | 2007-06-27 |
| 1437271582 | Rebecca Marcia Maravilla | Optometrist | 781 S Weir Canyon Road, Suite 195, Anaheim Hills, CA 92808 | 2007-04-06 |
| 1649327412 | Kimberlee Anne Anne Green | Counselor | 120 S. Fairmont Blvd., Anaheim, CA 92808 | 2007-01-04 |
| Find all providers in zip 92808 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093286668 | Jason Harrison | Counselor | 1101 N Harbor Blvd # 15, Anaheim, CA 92801-2419 | 2018-12-07 |
| 1396237681 | Nicole Villegas | Counselor | 727 S Beach Blvd, Anaheim, CA 92804-3104 | 2018-06-01 |
| 1649774282 | Ivan Casabianca | Counselor | 505 N Euclid St # 300, Anaheim, CA 92801-5506 | 2018-03-20 |
| 1083113260 | Danh P Nguyen | Counselor | 1661 N Raymond Ste 200, Anaheim, CA 92801-1120 | 2018-02-02 |
| 1184139958 | Cindy Lynn Wells | Counselor | 7521 E Moonridge Ln, Anaheim, CA 92808-1457 | 2017-12-03 |
| 1437662657 | Matthew Martin Delgado | Counselor | 1661 N Raymond Ave. Ste 200, Anaheim, CA 92801-1120 | 2017-11-09 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1548783244 | Jennifer Romero | Counselor | 711 East Ball Rd, 201, Anaheim, CA 92805 | 2017-07-25 |
| 1043730955 | Sharon Beatriz Colin | Counselor | 1901 East Center St, Anaheim, CA 92805 | 2017-06-21 |
| Find all providers in ANAHEIM | ||||
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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.