NICOLE PARAVICINI (NPI# 1245846245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245846245 |
| Entity Type | Individual |
| Full Name | NICOLE PARAVICINI |
| Practice Address |
101 N Franklin St Fort Bragg CA 95437-3602 |
| Mailing Address |
Po Box 2168 Fort Bragg CA 95437-2168 |
| Practice Telephone | 7079610172 |
| Practice Fax Number | 8443886167 |
| Mailing Telephone | 7079610172 |
| Mailing Fax Number | 8443886167 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
101 N FRANKLIN ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658360 | Timothy Maitland Rendell | Case Manager/Care Coordinator | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2019-06-17 |
| 1336510171 | Lesli Langslet | Community Health Worker | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2015-10-19 |
| 1528442951 | Kristina Harju | Community Health Worker | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2015-07-15 |
| 1164836961 | Anna Shaw | Community Health Worker | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2014-06-19 |
| 1831522333 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1295871135 | Sherry Ellen Ackeson-madden | Counselor | 124 E Pine St, Fort Bragg, Fort Bragg, CA 95437-3222 | 2007-01-29 |
| 1316009087 | Pamela Joy Steward | Counselor | 790 S Franklin St Ste B, Fort Bragg, CA 95437-5456 | 2006-12-15 |
| 1265084628 | Mike Garrett Spaar | Counselor | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-07-15 |
| 1639507007 | Peter Joseph Leresche | Counselor | 32670 Highway 20, Fort Bragg, CA 95437-5708 | 2013-10-23 |
| 1003249525 | Jessica Ehlers | Counselor | 32670 Highway 20 Unit 2, Fort Bragg, CA 95437-5708 | 2013-08-20 |
| 1821340480 | Genevieve Marilyn Gonzalez | Counselor | 205 South St, Fort Bragg, CA 95437 | 2012-10-08 |
| 1659503175 | Marilyn T Paventy | Counselor | 32670 Highway 20 Unit 2, Fort Bragg, CA 95437-5708 | 2009-08-17 |
| 1730387770 | Erik Erickson | Counselor | 544 S Main St, Fort Bragg, CA 95437-5107 | 2007-07-10 |
| 1154440568 | Jewell Tamar Ham | Counselor | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2007-03-28 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on NICOLE PARAVICINI.
| 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.