MR. LEW ED MUSSELMAN JR. (NPI# 1346719275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346719275 |
| Entity Type | Individual |
| Full Name | MR. LEW ED MUSSELMAN JR. |
| Practice Address |
1021 4th St Ste B Taft CA 93268-2433 |
| Practice Telephone | 6617657045 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| 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 |
| Street Address |
1021 4TH ST STE B |
| City | TAFT |
| State | CA |
| Zip Code | 93268-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093846313 | Melinda Santiago | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2007-03-08 |
| 1831721976 | Destiny Angelina Garcia | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2020-02-06 |
| 1316579436 | Darrin Boatman | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2020-02-06 |
| 1790343275 | Jose Rene Marentes Sr. | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2019-05-30 |
| 1790245066 | Geri Reni Francis | Licensed Vocational Nurse | 1021 4th St Ste B, Taft, CA 93268-2433 | 2019-03-22 |
| 1609378959 | Alexandra Paige Buchanan | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2018-03-02 |
| 1811499171 | Madelin Lopez | Case Manager/Care Coordinator | 1021 4th St Ste B, Taft, CA 93268-2433 | 2018-03-02 |
| 1164979498 | Courtney Anna Ruth Morris | Social Worker | 1021 4th St Ste B, Taft, CA 93268-2433 | 2016-09-02 |
| 1104280635 | Priscilla Zubiate | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2016-04-11 |
| 1760848782 | Leslie Anne Monty | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2016-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396004669 | Chad Thomas Acker | Counselor | 1021 4th Street Ste B, Taft, CA 93268 | 2012-05-08 |
| 1902122815 | Kevin Randall Blankenship | Counselor | 1024 4th St, Suite B, Taft, CA 93268 | 2010-04-16 |
| 1225202054 | Frank Ray Mesa Sr. | Counselor | 1021 4th Street, Ste B, Taft, CA 93268 | 2008-04-14 |
| 1386863413 | Omni Family Health | Clinic/Center | 1100 4th Street, Taft, CA 93268 | 2007-04-25 |
| 1851308191 | Kimberly Lynn Anderson | Nurse Practitioner | 100 E North St, Taft, CA 93268 | 2006-08-01 |
| 1932303559 | Seven Fold | Case Management | 201 Harrison St, Taft, CA 93268-2107 | 2007-06-14 |
| 1982184768 | Kathleen Kay Fitzsimmons | Registered Nurse | 811 6th St, Taft, CA 93268-2305 | 2018-08-21 |
| 1073655692 | Taft City Elementary School District | Local Education Agency (LEA) | 820 6th St, Taft, CA 93268-2306 | 2007-02-12 |
| 1255811436 | David Tate | Registered Nurse | 820 6th St, Taft, CA 93268-2306 | 2018-08-17 |
| 1184651119 | Bruce Edward Ferguson | Specialist/Technologist | 29 Emmons Park Dr, Taft, CA 93268-2317 | 2006-06-26 |
| Find all providers in zip 93268 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396004669 | Chad Thomas Acker | Counselor | 1021 4th Street Ste B, Taft, CA 93268 | 2012-05-08 |
| 1902122815 | Kevin Randall Blankenship | Counselor | 1024 4th St, Suite B, Taft, CA 93268 | 2010-04-16 |
| 1093846313 | Melinda Santiago | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2007-03-08 |
| 1700946738 | Jamey Lynn Vandiver | Counselor | 601 S. 142th St. W., Taft, OK 74463-0316 | 2006-12-11 |
| 1316579436 | Darrin Boatman | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2020-02-06 |
| 1760848782 | Leslie Anne Monty | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2016-01-06 |
| 1063816502 | Heather Popejoy | Counselor | 1021 4th St, Suite B, Taft, CA 93268-2433 | 2014-10-13 |
| 1598181307 | Consepcion Llanes | Counselor | 1021 4th St Ste B, Taft, CA 93268-2433 | 2014-03-17 |
| 1801147046 | Jani Lorraine Champlin | Counselor | 1021 4th St, Suite B, Taft, CA 93268-2433 | 2012-09-27 |
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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.