TARA L CAMPBELL (NPI# 1356647200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356647200 |
| Entity Type | Individual |
| Full Name | TARA L CAMPBELL |
| Practice Address |
769 W Blaine St Suite B Riverside CA 92507-3970 |
| Practice Telephone | 9513584705 |
| Practice Fax Number | 9513584719 |
| Mailing Telephone | 9513584705 |
| Mailing Fax Number | 9513584719 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2013-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMF 64859 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306077052 | Tara Dawn Campbell | Counselor | 29 B St Sw, Ardmore, OK 73401-6418 | 2009-07-29 |
| 1326538539 | Tara Campbell | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2018-05-14 |
| 1972996858 | Tara Rhea Campbell | Pharmacist | 901 Market St, Cheraw, SC 29520-3109 | 2015-03-16 |
| Street Address |
769 W BLAINE ST SUITE B |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-3970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063528891 | County of Riverside | Community/Behavioral Health | 769 W Blaine St, Suite B, Riverside, CA 92507-3970 | 2006-08-22 |
| 1619409570 | Maria Aguilar | Counselor | 769 W Blaine St, Suite A, Riverside, CA 92507-3970 | 2017-03-30 |
| 1487005260 | Heather Nicole Hopkins | Counselor | 769 W Blaine St, Riverside, CA 92507-3970 | 2016-06-23 |
| 1861868325 | Olga Lidia Ruperto-ledesma | Licensed Vocational Nurse | 769 W Blaine St, St. B, Riverside, CA 92507-3970 | 2015-08-19 |
| 1134522386 | Raul Gutierrez | Counselor | 769 W Blaine St, Riverside, CA 92507-3970 | 2014-10-02 |
| 1306250774 | Kevin Gragg II | Social Worker | 769 W Blaine St, Riverside, CA 92507-3970 | 2014-06-13 |
| 1053723072 | Claudia Elias | Licensed Vocational Nurse | 769 W Blaine St, Suite B, Riverside, CA 92507-3970 | 2014-05-25 |
| 1437578036 | Edwin Rojas | Case Manager/Care Coordinator | 769 W Blaine St, Suite A, Riverside, CA 92507-3970 | 2014-04-10 |
| 1649693185 | Robyn Curry | Social Worker | 769 W Blaine St, Suite B, Riverside, CA 92507-3970 | 2014-02-03 |
| 1033547666 | Laverne Zeta Bennett | Nurse Practitioner | 769 W Blaine St, Riverside, CA 92507-3970 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1023638541 | Sarah Davidson-amici | Counselor | 2167 Buckskin Pl, Riverside, CA 92506-4608 | 2020-04-24 |
| 1790311470 | Melanie S David | Counselor | 11498 Pierce St Ste A&b, Riverside, CA 92505-3357 | 2020-03-13 |
| 1548890155 | Taylor Jean Robitzer I | Counselor | 16435 Trisha Way, Riverside, CA 92504-5731 | 2020-01-23 |
| 1043854714 | Marie Apke | Counselor | 493 Uvedale Rd, Riverside, IL 60546-1608 | 2019-11-05 |
| 1851934954 | Community Access Network | Counselor | 16542 Tava Ln, Riverside, CA 92504-5833 | 2019-10-21 |
| 1124661236 | Community Access Network | Counselor | 10631 Orchard View Ln, Riverside, CA 92503-6605 | 2019-10-21 |
| 1518519503 | Erica Elissa Sierra | Counselor | 2085 Rustin Ave Ofc 2157, Riverside, CA 92507-2498 | 2019-07-10 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1518445725 | Ryan Gregory Galippo | Counselor | 1625 14th Street, Riverside, CA 92513-7549 | 2018-07-31 |
| Find all providers in RIVERSIDE | ||||
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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.