EDEN ROSE LEBOLD (NPI# 1427482348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427482348 |
| Entity Type | Individual |
| Full Name | EDEN ROSE LEBOLD |
| Practice Address |
1230 Impala Ct Santa Rosa CA 95405-7323 |
| Practice Telephone | 7078432298 |
| Mailing Telephone | 7078432298 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1230 IMPALA CT |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1710506381 | Shauna Rose Hamilton | Counselor | 831 Howard St, Santa Rosa, CA 95404-3714 | 2020-04-13 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1275066193 | Alyssia Cruz | Counselor | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2017-04-07 |
| 1780036780 | Brittany Leigh Ratiani | Counselor | 1421 Guerneville Rd Ste 128, Santa Rosa, CA 95403 | 2016-07-01 |
| 1912378381 | Deborah Dooley | Counselor | 650 Larkfield Ctr # A-3, Santa Rosa, CA 95403-1400 | 2015-10-12 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1265808976 | Wilton Hall IIi | Counselor | 3114 Terra Linda Dr, Santa Rosa, CA 95404-2121 | 2015-08-17 |
| 1154752244 | Tara Farrell | Counselor | 123 General Delivery, Santa Rosa, CA 95402-9999 | 2013-11-27 |
| 1225463128 | Laura May | Counselor | 757 Beaver St, Santa Rosa, CA 95404-3755 | 2013-09-10 |
| 1073866778 | Gabriel T. Cooper | Counselor | 2255 Challenger Way, Suite 106, Santa Rosa, CA 95407-5423 | 2012-10-18 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on EDEN ROSE LEBOLD.
| 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.