MS. LEAH MYHANH BARDEN (NPI# 1386036648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386036648 |
Entity Type | Individual |
Full Name | MS. LEAH MYHANH BARDEN |
Credential | BSCJA/HS |
Practice Address |
31946 Mission Trl Suite B Lake Elsinore CA 92530-4539 |
Practice Telephone | 9512457663 |
Practice Fax Number | 9516746431 |
Mailing Telephone | 9512457663 |
Mailing Fax Number | 9516746431 |
Enumeration Date | 2015-02-24 |
Last Update Date | 2015-02-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
31946 MISSION TRL SUITE B |
City | LAKE ELSINORE |
State | CA |
Zip Code | 92530-4539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790819464 | Donna Evelyn | Psychologist | 31946 Mission Trl, Ste B, Lake Elsinore, CA 92530-4539 | 2007-03-15 |
1508217357 | Crystal Guerrero | Counselor | 31946 Mission Trl, Suite B, Lake Elsinore, CA 92530-4539 | 2016-06-23 |
1407203854 | Edgard Eduardo Villa Jr. | Counselor | 31946 Mission Trl, Suite B, Lake Elsinore, CA 92530-4539 | 2016-05-16 |
1245646876 | Celeste Quintero | Marriage & Family Therapist | 31946 Mission Trl, Ste. B, Lake Elsinore, CA 92530-4539 | 2014-07-03 |
1467868034 | Diana Fernandez | Marriage & Family Therapist | 31946 Mission Trl, Suite B, Lake Elsinore, CA 92530-4539 | 2014-07-03 |
1578835781 | Maria Gabriela Garcia | Case Manager/Care Coordinator | 31946 Mission Trl, Ste.b, Lake Elsinore, CA 92530-4539 | 2012-02-02 |
1033487707 | Carina B Gustafsson | Marriage & Family Therapist | 31946 Mission Trl, Ste B, Lake Elsinore, CA 92530-4539 | 2011-12-08 |
1720378573 | Patricia Lamas | Marriage & Family Therapist | 31946 Mission Trl, Suite B, Lake Elsinore, CA 92530-4539 | 2011-04-13 |
1831427285 | Thuy Hoang Ulrich | Marriage & Family Therapist | 31946 Mission Trl, Suite B, Lake Elsinore, CA 92530-4539 | 2009-11-23 |
1366616682 | Adelaida D Moreno | Marriage & Family Therapist | 31946 Mission Trl, Suite B, Lake Elsinore, CA 92530-4539 | 2008-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
Find all providers in zip 92530 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
1003440900 | Kailey Hyatt | Peer Specialist | 31772 Casino Dr Ste B, Lake Elsinore, CA 92530-4502 | 2020-02-28 |
1356999049 | Gloria Montes Cardona | Peer Specialist | 31946 Mission Trl Ste B, Lake Elsinore, CA 92530-4539 | 2019-08-27 |
1568015253 | Peter John Kiriakos IIi | Peer Specialist | 31760 Casino Dr, Lake Elsinore, CA 92530-2313 | 2019-07-22 |
1700310745 | La Trise Robinson | Peer Specialist | 31946 Mission Trl Ste B, Lake Elsinore, CA 92530-4539 | 2017-04-17 |
1164960951 | Kathryn Robbins | Peer Specialist | 31764 Casino Dr, Ste 300, Lake Elsinore, CA 92530-4571 | 2017-02-01 |
1164881793 | Ana Villalobos | Peer Specialist | 31946 Mission Trl Ste B, Lake Elsinore, CA 92530-4539 | 2016-02-10 |
1083949929 | Jennifer Amy Hoover | Peer Specialist | 31946 Mission Trl Ste B, Lake Elsinore, CA 92530-4539 | 2009-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
Find all providers with the same taxonomy |
City | LAKE ELSINORE |
Zip Code | 92530 |
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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.