KAELA STEPHENS (NPI# 1366830325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366830325 |
| Entity Type | Individual |
| Full Name | KAELA STEPHENS |
| Credential | LPCC, NCC |
| Practice Address |
264 Clovis Ave Clovis CA 93612-1115 |
| Mailing Address |
Po Box 1774 Clovis CA 93613-1774 |
| Practice Telephone | 5594758202 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPCC7488 | CA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPCC7488 | CA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPCC7488 | CA | Behavioral Health & Social Service Providers |
| Street Address |
264 CLOVIS AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558307009 | Diane Leigh Ashmore | Counselor | 264 Clovis Ave, Clovis, CA 93612-1115 | 2006-06-22 |
| 1831655075 | Heather Elizabeth Carrier | Marriage & Family Therapist | 264 Clovis Ave, Clovis, CA 93612-1115 | 2019-02-12 |
| 1164958187 | Alicia Marie Negri | Marriage & Family Therapist | 264 Clovis Ave, 213, Clovis, CA 93612-1115 | 2017-05-11 |
| 1528447802 | Tracee Phanco | Marriage & Family Therapist | 264 Clovis Ave, Suite 211, Clovis, CA 93612-1115 | 2015-05-20 |
| 1952633570 | Jeanne Galbraith | Marriage & Family Therapist | 264 Clovis Ave, Suite 102, Clovis, CA 93612-1115 | 2010-02-06 |
| 1679736250 | David John Wolter | Marriage & Family Therapist | 264 Clovis Ave, Clovis, CA 93612-1115 | 2008-07-03 |
| 1205028685 | Matthew Kelly Malin | Marriage & Family Therapist | 264 Clovis Ave, Ste 212, Clovis, CA 93612-1115 | 2007-08-09 |
| 1235340993 | Patricia L. Sweetman | Social Worker | 264 Clovis Ave, Suite 104, Clovis, CA 93612-1115 | 2007-05-24 |
| 1427175983 | Sergio Ilic, M.d., Professional Corporation | Orthopaedic Surgery | 264 Clovis Ave, Suite 207, Clovis, CA 93612-1115 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491568 | Ramage Marriage & Family Therapy, Inc. | Counselor | 264 Clovis Ave # 202, Clovis, CA 93612-1115 | 2019-08-05 |
| 1205320975 | Jonathan Thao | Counselor | 1960 Fairmont Ave, Clovis, CA 93611-4151 | 2018-06-18 |
| 1518482678 | Janeesha Pleasant | Counselor | 1621 Sutter Pl, Clovis, NM 88101-4610 | 2017-08-10 |
| 1679018626 | Cassandra Aldaz | Counselor | 3341 Loyola Ave, Clovis, CA 93619-7200 | 2016-12-29 |
| 1912453176 | Felicia A. Dobbs | Counselor | 100 Scottsdale Dr, Clovis, NM 88101-2739 | 2016-08-28 |
| 1578948360 | Sandra Whiting | Counselor | 3017 N Prince St, Suite B, Clovis, NM 88101-3804 | 2015-07-22 |
| 1346634730 | Sharon Miller | Counselor | 2200 Las Palomas Rd, Clovis, NM 88101-4345 | 2015-03-24 |
| 1235569559 | Restored Hope Counseling, LLC | Counselor | 801 Pile St, Suite 202, Clovis, NM 88101-6643 | 2013-11-22 |
| 1669805222 | David Brian Macmaster | Counselor | 2778 Hampton Way, Clovis, CA 93611-5570 | 2013-08-17 |
| 1013352400 | Lula Mae Brown | Counselor | Matt 25 1200 North Thornton Street, Clovis, NM 88101 | 2013-04-30 |
| Find all providers in CLOVIS | ||||
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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.