ALEXIS R TAIVITI (NPI# 1558914028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558914028 |
| Entity Type | Individual |
| Full Name | ALEXIS R TAIVITI |
| Practice Address |
6060 Sunrise Vista Dr Ste 2100 Citrus Heights CA 95610-7068 |
| Practice Telephone | 9169676253 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6060 SUNRISE VISTA DR STE 2100 |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610-7068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972707586 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 6060 Sunrise Vista Dr Ste 2100, Citrus Heights, CA 95610-7068 | 2007-06-14 |
| 1689218299 | Montoya Elizabeth Tolliver | Case Manager/Care Coordinator | 6060 Sunrise Vista Dr Ste 2100, Citrus Heights, CA 95610-7068 | 2019-11-06 |
| 1619531787 | James Parker Jr. | Counselor | 6060 Sunrise Vista Dr Ste 2100, Citrus Heights, CA 95610-7068 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1831684059 | Omara Sin | Behavior Technician | 5620 Birdcage Street, Suite 230, Citrus Heights, CA 95610 | 2018-06-29 |
| 1528427804 | Mpl Group, LLC | General Practice | 7601 Sunrise Blvd., Suite 8, Citrus Heights, CA 95610 | 2016-02-16 |
| 1851788327 | L.kravchuk Dental Corporation | Dentist | 6240 San Juan Ave, Suite#f, Citrus Heights, CA 95610 | 2015-04-22 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1346582640 | Vista Child Therapy LLC | Physical Therapist | 7579 Old Auburn Road, Citrus Heights, CA 95610 | 2013-03-25 |
| 1982954475 | Exam Collections and Testing Services LLC | Health Maintenance Organization | 6060 Sunrise Vista Dr Ste 1975, Citrus Heights, CA 95610 | 2012-09-12 |
| 1235486168 | Adam Olives | Behavioral Analyst | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 | 2012-08-09 |
| 1245598598 | William S. Fastiggi | Veterinarian | 7484 Sunrise Blvd, Citrus Heights, CA 95610 | 2012-04-24 |
| 1295023679 | The Living Water | Residential Treatment Facility, Physical Disabilities | 7504 Chipmunk Way, Citrus Heights, CA 95610 | 2011-07-19 |
| Find all providers in zip 95610 | ||||
| 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 |
|---|---|---|---|---|
| 1164999405 | Irene-victoria Mosier | Counselor | 7817 Old Auburn Rd, Citrus Heights, CA 95610-3025 | 2018-10-24 |
| 1649442351 | Sean Henry Ferguson | Counselor | 6712 Le Mans Ave, Citrus Heights, CA 95621-5410 | 2008-04-02 |
| 1033247820 | Gloria Sue Nordmark | Counselor | 6627 Creekmont Way, Citrus Heights, CA 95621-1841 | 2007-03-01 |
| 1336784339 | Natalia Capozziello | Counselor | 8421 Auburn Blvd Ste 3, Citrus Heights, CA 95610-0391 | 2019-11-13 |
| 1619531787 | James Parker Jr. | Counselor | 6060 Sunrise Vista Dr Ste 2100, Citrus Heights, CA 95610-7068 | 2019-04-24 |
| 1316406010 | Sonia Renee Lewis | Counselor | 7806 Uplands Way, Citrus Heights, CA 95610-7567 | 2019-03-13 |
| 1548727902 | Jessica L Wilson | Counselor | 7806 Uplands Way, Citrus Heights, CA 95610-7567 | 2019-02-21 |
| 1356808893 | Stephanie Piring | Counselor | 7806 Uplands Way, Citrus Heights, CA 95610-7567 | 2019-02-20 |
| 1033693122 | Latasha Oliver | Counselor | 7806 Uplands Way Ste A, Citrus Heights, CA 95610-7567 | 2018-09-24 |
| 1255825824 | Kathy M Powell | Counselor | 7806 Uplands Way, Citrus Heights, CA 95610-7567 | 2018-06-18 |
| Find all providers in CITRUS HEIGHTS | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
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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.