BRANDYNN LEWIS (NPI# 1558501833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558501833 |
| Entity Type | Individual |
| Full Name | BRANDYNN LEWIS |
| Other Name | BRANDY LEWIS |
| Credential | LPCC |
| Practice Address |
2460 W 3rd St Ste 230 Santa Rosa CA 95401-6411 |
| Mailing Address |
100 E St Ste 205 Santa Rosa CA 95404-4606 |
| Practice Telephone | 7075402648 |
| Mailing Telephone | 7075402648 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
420 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2460 W 3RD ST STE 230 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-6411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790985232 | Michael David Henry | Marriage & Family Therapist | 2460 W 3rd St Ste 230, Santa Rosa, CA 95401-6411 | 2007-07-23 |
| 1184004798 | Timothy Michael Johnson | Marriage & Family Therapist | 2460 W 3rd St Ste 230, Santa Rosa, CA 95401 | 2015-06-09 |
| 1245627041 | Erica Lindstrom-dake | Marriage & Family Therapist | 2460 W 3rd St Ste 230, Santa Rosa, CA 95401-6411 | 2015-04-20 |
| 1871906792 | Emily Morrison | Marriage & Family Therapist | 2460 W 3rd St Ste 230, Santa Rosa, CA 95401 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492101 | Jeremy Berlin | Counselor | 5755 Mountain Hawk Dr Ste 201, Santa Rosa, CA 95409-4451 | 2019-11-18 |
| 1073069969 | Pauline Laurent | Counselor | 2727 Tachevah Dr Apt 24, Santa Rosa, CA 95405-8441 | 2016-08-30 |
| 1518314905 | Katherine Nguyen | Counselor | 576 B St Ste 1a, Santa Rosa, CA 95401-5269 | 2016-05-16 |
| 1538531918 | Gabrielle M Simmons | Counselor | 1625 Terrace Way Ste C, Santa Rosa, CA 95404-3035 | 2015-10-26 |
| 1417397829 | Kim Mcgrath | Counselor | 865 3rd St Ste 103, Santa Rosa, CA 95404-4518 | 2013-06-28 |
| 1487804993 | Robin Lynn Reiss | Counselor | 369 Casa Manana Road Room G, Santa Rosa, CA 95409 | 2008-09-22 |
| 1700943123 | Jennifer G. Brandt | Counselor | 3558 Roundbarn Blvd, Santa Rosa, CA 95403-1780 | 2007-01-03 |
| 1780297101 | Mishale Ann Rede Ballinger | Counselor | 405 Jackson Dr, Santa Rosa, CA 95409-4209 | 2020-08-25 |
| 1164055927 | Sunrise Clinics | Counselor | 117 Camino De Vida, Santa Rosa, NM 88435-2267 | 2020-02-19 |
| 1598307027 | Stephanie Lopez Amaya | Counselor | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2019-10-16 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on BRANDYNN LEWIS.
| 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.