LISA MARIE HERTENSTEIN (NPI# 1245750223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245750223 |
| Entity Type | Individual |
| Full Name | LISA MARIE HERTENSTEIN |
| Practice Address |
955 W Center St Manteca CA 95337-7300 |
| Mailing Address |
4814 Hearthwood Ct Stockton CA 95206-6305 |
| Practice Telephone | 2092399600 |
| Mailing Telephone | 2096012255 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| 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 |
955 W CENTER ST |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801940804 | Sony Ruth Nathaniel | Marriage & Family Therapist | 955 W Center St, Ste. 6, Manteca, CA 95337-7300 | 2007-01-23 |
| 1912444399 | Valerie Abbott | Counselor | 955 W Center St, Ste 12a, Manteca, CA 95337-7300 | 2017-01-24 |
| 1770986226 | Maricel Ruffy | Licensed Vocational Nurse | 955 W Center St, Suite 12 A, Manteca, CA 95337-7300 | 2014-09-29 |
| 1265701932 | Angela French | Marriage & Family Therapist | 955 W Center St, Suite 12b, Manteca, CA 95337-7300 | 2011-12-23 |
| 1396031407 | Cynthia Wilson | Counselor | 955 W Center St, 12-b, Manteca, CA 95337-7300 | 2011-06-27 |
| 1518191659 | Kara Michele Herrick | Marriage & Family Therapist | 955 W Center St, Suite 12b, Manteca, CA 95337-7300 | 2009-05-04 |
| 1801098215 | Patricia L. Norris | Counselor | 955 W Center St, Manteca, CA 95337-7300 | 2007-06-05 |
| 1003032707 | Sharon Mae Hendrix | Licensed Vocational Nurse | 955 W Center St, Manteca, CA 95337-7300 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073013512 | Naveed Ahmed | Counselor | 955 W Center St Ste 12aand14, Manteca, CA 95337-7300 | 2018-02-20 |
| 1700307345 | Elanda Shelton | Counselor | 955 W Center St Ste 12a&14, Manteca, CA 95337-7300 | 2017-07-05 |
| 1528424470 | Shirley Thompson | Counselor | 955 W Center St Ste 12a&12b, Manteca, CA 95337-7300 | 2016-01-07 |
| 1497054597 | Armando R Aguilar II | Counselor | 1789 W Yosemite Ave Bldg 1, Manteca, CA 95337-5130 | 2011-03-15 |
| 1063616910 | William Louis Svoboda | Counselor | 1774 Tasca Pl, Manteca, CA 95337-8784 | 2007-06-13 |
| 1942425400 | Tonya Marie Bagley | Counselor | 955 W Center St Ste 12a, Manteca, CA 95337-7327 | 2007-04-17 |
| 1164549002 | Ruben Edward Alvarez | Counselor | 1155 Tannehill Dr, Manteca, CA 95337-7944 | 2007-03-24 |
| 1336291897 | Teresa Mcclendon | Counselor | 955 W Center St Ste 12, Manteca, CA 95337-7300 | 2007-01-17 |
| 1710443528 | Jessica Neel | Counselor | 955 W Center St Ste 12a&14, Manteca, CA 95337-7300 | 2019-02-17 |
| 1376013425 | Cristina Serhan | Counselor | 955 W Center St Ste 12a&12b, Manteca, CA 95337-7300 | 2018-12-03 |
| Find all providers in MANTECA | ||||
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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.