CHANALISSA KOZELCHIK (NPI# 1356908016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356908016 |
| Entity Type | Individual |
| Full Name | CHANALISSA KOZELCHIK |
| Practice Address |
8140 Sunland Blvd Sun Valley CA 91352-3948 |
| Practice Telephone | 8185828832 |
| Practice Fax Number | 8185828836 |
| Mailing Telephone | 8185828832 |
| Mailing Fax Number | 8185828836 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| 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 |
8140 SUNLAND BLVD |
| City | SUN VALLEY |
| State | CA |
| Zip Code | 91352-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164706891 | Sandra Jean Estrada | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2011-09-29 |
| 1962001644 | Joseline Soriano Hernandez | Technician | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-10-22 |
| 1396351003 | Andrea Vazquez | Licensed Vocational Nurse | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-09-17 |
| 1841805793 | Hannah Nicole Esquivel | Technician | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-09-08 |
| 1588282818 | Melissa Anne Coons | Marriage & Family Therapist | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-07-13 |
| 1407474745 | Jessica Marie Roux | Marriage & Family Therapist | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-07-13 |
| 1194341149 | Brianna Alexis Ortiz | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-06-24 |
| 1437773793 | Crystal Evanjelina Chiguila | Technician | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-06-02 |
| 1104448240 | Melia Sheh Barkley | Technician | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-05-12 |
| 1922620384 | Lyndonne Janelle Payne | Technician | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457908618 | The Teen Project, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8142 Sunland Blvd., Sun Valley, CA 91352 | 2019-08-22 |
| 1831638717 | Sonia Canton | Counselor | 8140 Sunland Blvd., Sun Valley, CA 91352 | 2017-02-13 |
| 1023480613 | Hhs Homecare, Inc | Home Health | 10875 La Tuna Canyon Rd, Sun Valley, CA 91352 | 2015-10-22 |
| 1407259724 | Irina Yerkanyan | Driver | 8258 Sunland Blvd, Sun Valley, CA 91352 | 2014-09-30 |
| 1013199264 | Northeast Valley Health Corporation | Clinic/Center | 7223 N. Fair Avenue, Sun Valley, CA 91352 | 2007-11-29 |
| 1528117413 | Kerri Davidove Lee | Optometrist | 8447 Laurel Canyon Blvd, Sun Valley, CA 91352 | 2007-01-09 |
| 1043394513 | Emma P Aralar | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8983 Telfair Avenue, Sun Valley, CA 91352 | 2006-10-24 |
| 1861402935 | Pacifica of The Valley Corporation | General Acute Care Hospital | 9449 San Fernando Road, Sun Valley, CA 91352 | 2006-08-09 |
| 1003415142 | Michelle Marie Villarreal | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
| 1891394946 | Sharon Stasha Kukkiriza | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
| Find all providers in zip 91352 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811493208 | Michael Wools | Counselor | 10235 La Tuna Canyon Rd, Sun Valley, CA 91352-2104 | 2018-04-04 |
| 1831638717 | Sonia Canton | Counselor | 8140 Sunland Blvd., Sun Valley, CA 91352 | 2017-02-13 |
| 1164706891 | Sandra Jean Estrada | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2011-09-29 |
| 1598067506 | Alex Islas | Counselor | 8601 Sunland Blvd Unit 64, Sun Valley, CA 91352-5413 | 2010-11-23 |
| 1982822078 | Roxanna Marie Falcon | Counselor | 8604 Lankershim Blvd, Sun Valley, CA 91352-3140 | 2007-04-23 |
| 1194341149 | Brianna Alexis Ortiz | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-06-24 |
| 1073146460 | Lorena Amalia Lopez | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2020-02-13 |
| 1366009029 | Elena Lepe | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2019-05-28 |
| 1629635388 | Mary Kathleen Diekmann | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2019-05-28 |
| 1962985580 | Pennie Alvarez | Counselor | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2018-09-10 |
| Find all providers in SUN VALLEY | ||||
| City | SUN VALLEY |
| Zip Code | 91352 |
Please comment or provide details below to improve the information on CHANALISSA KOZELCHIK.
| 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.