JENNIFER KATHLEEN GERK (NPI# 1366796575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366796575 |
| Entity Type | Individual |
| Full Name | JENNIFER KATHLEEN GERK |
| Practice Address |
401 S Tustin St Bldg D Orange CA 92866-2550 |
| Practice Telephone | 7142893936 |
| Practice Fax Number | 7142893938 |
| Mailing Telephone | 7142893936 |
| Mailing Fax Number | 7142893938 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295178648 | Jennifer Hope Gerk | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2013-04-15 |
| Street Address |
401 S TUSTIN ST BLDG D |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407056880 | Lily Thanh Hoang | Community Based Residential Treatment Facility, Mental Illness | 401 S Tustin St, Bldg. D, Orange, CA 92866-2550 | 2007-07-23 |
| 1992348767 | Janice Jones | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2019-10-23 |
| 1922578590 | Kenya Denise Bradley | Peer Specialist | 401 S Tustin St, Orange, CA 92866 | 2018-11-27 |
| 1467920561 | Jason Stentz | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-11-06 |
| 1669959292 | Orlando Vera | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-07-26 |
| 1447745088 | Antoine Jackson | Counselor | 401 S Tustin St, Orange, CA 92866-2550 | 2018-06-26 |
| 1790286797 | Jesus Torres Jr. | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-02-24 |
| 1962903971 | Matthew Taylor | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-02-24 |
| 1114466331 | Maritza Meza | Counselor | 401 S Tustin St, Building D, Orange, CA 92866-2550 | 2017-02-21 |
| 1750831889 | College Community Services | Health Maintenance Organization | 401 S Tustin St, Building #c, Orange, CA 92866-2550 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239465 | Benjamin Obi | Counselor | 369 Park Ave Apt F9, Orange, NJ 07050-2852 | 2019-11-07 |
| 1740844133 | Rachel Mcghee | Counselor | 13021 James Madison Hwy, Orange, VA 22960-2807 | 2019-05-01 |
| 1013464528 | Kayla Bosselait | Counselor | 15 E. Main St, #205, Orange, MA 01364 | 2016-09-01 |
| 1093168007 | Laura Mekola | Counselor | 171 S Anita Dr Ste 200-d, Orange, CA 92868-3319 | 2016-07-14 |
| 1831513738 | Keith Andrew Hope Jr. | Counselor | 10717 Mt Sharon Rd, Orange, VA 22960-4347 | 2014-02-12 |
| 1962833186 | Julie Stanley | Counselor | 73 Lincoln Ave, Orange, MA 01364-1012 | 2013-12-13 |
| 1801135348 | Alma Moreno-salas | Counselor | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2013-02-04 |
| 1346547601 | Ashley Nicole Braithwaite | Counselor | 2882 N Santa Fe Pl, Orange, CA 92865-1243 | 2011-02-23 |
| 1730419979 | Sohail Eftekharzadeh | Counselor | 8245 E Woodwind Ave, Orange, CA 92869-6563 | 2010-01-11 |
| 1871788976 | Candice Till | Counselor | 811 N Ranch Wood Trl, Orange, CA 92869-2305 | 2007-09-11 |
| Find all providers in ORANGE | ||||
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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.