MR. JEFF ROBERT JEFFERY (NPI# 1528374774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528374774 |
| Entity Type | Individual |
| Full Name | MR. JEFF ROBERT JEFFERY |
| Credential | CATC |
| Practice Address |
117 S. Benwiley Avenue Santa Maria CA 93458 |
| Mailing Address |
Po Box 1245 Santa Maria CA 93456-1245 |
| Practice Telephone | 8053323439 |
| Practice Fax Number | 8058624901 |
| Mailing Telephone | 6193021846 |
| Mailing Fax Number | 8058624901 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
101687 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1528374774 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 504 W Vista Way, Vista, CA 920835704 | 7609401836 |
| Street Address |
117 S. BENWILEY AVENUE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| 1336327071 | Annelie S Purdy Phd Inc | Psychologist | 433 So Lincoln Street, Annelie S Purdy Phd Inc, Santa Maria, CA 93458 | 2008-02-05 |
| Find all providers in zip 93458 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994523 | Michelle M Knudsen | Counselor | 412 E Tunnel, Santa Maria, CA 93454-9345 | 2020-05-26 |
| 1891315438 | Jessica Marie Aragonez | Counselor | 521 E Chapel St, Santa Maria, CA 93454-4573 | 2020-04-23 |
| 1346715091 | Lisa Christine Button | Counselor | 245 Inger Dr Ste 103b, Santa Maria, CA 93454-8669 | 2018-10-09 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1518416221 | Eliot Davis | Counselor | 115 E. Fesler St, Santa Maria, CA 93454 | 2016-09-23 |
| 1033564984 | Alexandria Conrad | Counselor | 4229 Fernview St, Santa Maria, CA 93455-3323 | 2016-04-28 |
| 1023483187 | Chanel Carreira | Counselor | 1414 S Miller St Ste 11, Santa Maria, CA 93454-6916 | 2015-12-01 |
| 1518353093 | Eileen Ortiz | Counselor | 245 Inger Dr Ste 103-b, Santa Maria, CA 93454-8669 | 2015-04-10 |
| 1487067922 | Aegis Treatment Centers | Counselor | 2534 Logan Dr, Santa Maria, CA 93455-7443 | 2014-06-03 |
| 1649697913 | John Coates | Counselor | 1723 Adler Ct, Santa Maria, CA 93458-7313 | 2014-03-25 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
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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.