JESSE JUAREZ (NPI# 1629107644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629107644 |
| Entity Type | Individual |
| Full Name | JESSE JUAREZ |
| Practice Address |
934 N Mountain Ave Ste C Upland CA 91786-3659 |
| Practice Telephone | 9095798100 |
| Practice Fax Number | 9095798149 |
| Mailing Telephone | 9095798100 |
| Mailing Fax Number | 9095798149 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
934 N MOUNTAIN AVE STE C |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811060908 | Joshua Michael Kruse | Student in an Organized Health Care Education/Training Program | 934 N Mountain Ave, Suite C, Upland, CA 91786-3659 | 2006-11-16 |
| 1801451026 | Christopher Walters | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2019-05-02 |
| 1154721728 | Elizabeth Ann Ello | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2014-09-02 |
| 1811312168 | Perlena Brown | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2014-02-24 |
| 1700186459 | Jessica Yvonne Ortiz | Counselor | 934 N Mountain Ave, Upland, CA 91786-3659 | 2010-10-28 |
| 1083943369 | Rachel Padilla | Marriage & Family Therapist | 934 N Mountain Ave, C, Upland, CA 91786-3659 | 2009-12-15 |
| 1760664965 | Constance Alice Davis | Marriage & Family Therapist | 934 N Mountain Ave, Upland, CA 91786-3659 | 2007-11-29 |
| 1780865055 | Pantea Bagheri | Counselor | 934 N Mountain Ave, Suite C, Upland, CA 91786-3659 | 2007-11-15 |
| 1588792618 | Amy Elizabeth Carpenter Harvey | Marriage & Family Therapist | 934 N Mountain Ave, Suite C, Upland, CA 91786-3659 | 2007-03-01 |
| 1396873766 | Yanira Orellana | Social Worker | 934 N Mountain Ave, Suite C, Upland, CA 91786-3659 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437963 | Chelsea Heller | Counselor | 968 Carson St, Upland, CA 91784-1831 | 2020-05-01 |
| 1225669393 | All In Family Counseling | Counselor | 1857 Wilson Ave, Upland, CA 91784-7449 | 2020-01-28 |
| 1063059905 | Courtney Cope | Counselor | 1207 Jacaranda Pl, Upland, CA 91784-7410 | 2019-12-10 |
| 1780231449 | Lupita Rojas | Counselor | 1425 W Foothill Blvd Fl Ave3, Upland, CA 91786-8007 | 2019-08-19 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1023585841 | Andrea L Hollis | Counselor | 1420 Chaffee St Apt 154, Upland, CA 91786-5575 | 2018-10-30 |
| 1336614940 | Karisa Nicole Quick | Counselor | 231 N Euclid Ave, Upland, CA 91786-6038 | 2018-10-10 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1477090413 | Evelyne Banks | Counselor | 1126 W Foothill Blvd Ste 110, Upland, CA 91786-3786 | 2017-01-29 |
| 1558814830 | Sabrina Analise Elias | Counselor | 1425 W Foothill Blvd Ste 300, Upland, CA 91786 | 2016-08-03 |
| Find all providers in UPLAND | ||||
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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.