TRINITY COUNSELING CENTER (NPI# 1255460648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255460648 |
| Entity Type | Organization |
| Organization Name | TRINITY COUNSELING CENTER |
| Practice Address |
13847 E 14th St #215 San Leandro CA 94578-2632 |
| Practice Telephone | 5104301115 |
| Practice Fax Number | 5104301116 |
| Mailing Telephone | 5104301115 |
| Mailing Fax Number | 5104301116 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | DR. LINDSAY S MALCOLM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5104301115 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY23069 | CA | Behavioral Health & Social Service Providers |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184741902 | Trinity Counseling Center | Community/Behavioral Health | 2150 General Pershing St, Mandeville, LA 70448-5125 | 2007-03-25 |
| 1396015715 | Trinity Counseling Center | Counselor | 612 Main St, Suite 106, Palmetto, GA 30268-1149 | 2012-01-02 |
| 1245372002 | Trinity Counseling Center | Counselor | 7500 Memorial Pkwy Sw Ste 215c, Huntsville, AL 35802-2200 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRINITY COUNSELING CENTER, LLC | 815 E Jackson St, Medford, OR 97504 |
| Connecticut Business Registrations | TRINITY COUNSELING CENTER, LLC | 14 Julian Street, Norwich, CT 06360 |
| Oklahoma Business Registrations | TRINITY COUNSELING CENTERS, LLC | 3813 S 196th East Ave, Broken Arrow, OK 74014 |
| Street Address |
13847 E 14TH ST #215 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307720 | Ravinder K Arora | Internal Medicine | 13847 E 14th St, Suite 217, San Leandro, CA 94578-2632 | 2005-06-24 |
| 1881218923 | Curtis Eugene Penn | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2020-06-04 |
| 1962024885 | Robyn Miller | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2020-05-13 |
| 1700359668 | Shireen Farsi | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2019-01-03 |
| 1366812190 | Lawrence Lyons | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2015-10-06 |
| 1639549157 | Owen Michael Camarco | Counselor | 13847 E 14th St, San Leandro, CA 94578 | 2015-09-26 |
| 1376961664 | Asian Community Mental Health Board | Community/Behavioral Health | 13847 E 14th St, Suite 116, San Leandro, CA 94578-2632 | 2014-04-03 |
| 1518203728 | Nehal Ghevariya | Internal Medicine | 13847 E 14th St, Ste 115, San Leandro, CA 94578-2632 | 2012-12-14 |
| 1831465814 | Arkady Oreper, Md, A Professional Corporation | Psychiatry & Neurology | 13847 E 14th St, 204, San Leandro, CA 94578-2632 | 2012-03-24 |
| 1841579323 | Fortani Medical Corp. | Family Medicine | 13847 E 14th St, Suite 216, San Leandro, CA 94578-2632 | 2011-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1639701857 | Journey To New Beginnings | Clinic/Center | 13847 E 14th St Ste 202, San Leandro, CA 94578-2626 | 2020-02-05 |
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| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
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| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.