GERREKA GILLIAM (NPI# 1629594197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629594197 |
Entity Type | Individual |
Full Name | GERREKA GILLIAM |
Practice Address |
509 E Rosecrans Ave Compton CA 90221 |
Mailing Address |
509 E Rosecrans Ave Compton CA 90221-2056 |
Practice Telephone | 2133855100 |
Practice Fax Number | 3109453356 |
Mailing Telephone | 2133855100 |
Mailing Fax Number | 3109453356 |
Enumeration Date | 2017-08-16 |
Last Update Date | 2018-07-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 106613 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
509 E ROSECRANS AVE |
City | COMPTON |
State | CA |
Zip Code | 90221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750597936 | Dana P Marion | Marriage & Family Therapist | 509 E Rosecrans Ave, Compton, CA 90221 | 2007-05-15 |
1841837721 | Mauricio Emanuel Lopez | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-12-10 |
1174088017 | Rosalba Lizeth Estrella Sr. | Student in an Organized Health Care Education/Training Program | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-02-05 |
1538624739 | Theresa Gartner | Social Worker | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-02-01 |
1255801866 | Viridiana Pacheco | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-11-27 |
1982189346 | Ashley G. Nelik | Social Worker | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-10-01 |
1295211845 | Gloria Gastelum | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-07-17 |
1245734565 | Alma Elizabeth Garcia | Marriage & Family Therapist | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-03-21 |
1861993495 | Lilian Maricela Garcia | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2018-02-28 |
1821429101 | Celia Hernandez | Counselor | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2013-12-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619448313 | Yong Wung Yoo | Acupuncturist | 2787 E. Del Amo Blvd, G-1, Rancho Dominguez, CA 90221 | 2018-12-07 |
1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
1821528175 | Jataja Patterson | Behavior Technician | 15531 South Gibson Avenue, Compton, CA 90221 | 2017-06-19 |
1316318439 | Yuin University | Health Maintenance Organization | 2007 E Compton Blvd, Compton, CA 90221 | 2015-10-15 |
1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
1558671222 | Joyce Redor Lim | Adult Companion | 1680 Tartar Lane, 22, Compton, CA 90221 | 2010-10-15 |
1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
Find all providers in zip 90221 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720448962 | Liliana L. Lopez Azpeitia | Marriage & Family Therapist | 304 W Elm St, Compton, CA 90220-2113 | 2016-03-01 |
1063879567 | Solange Pollack | Marriage & Family Therapist | 3209 N Alameda St Ste Jandk, Compton, CA 90222-1406 | 2016-01-28 |
1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
1427395417 | Victor Gabriel | Marriage & Family Therapist | 16526 S Thorson Ave, Compton, CA 90221-5235 | 2013-01-10 |
1134419617 | Nikiesha Corine Brooks | Marriage & Family Therapist | 500 N Willowbrook Ave, Unit K 5, Compton, CA 90220-2458 | 2011-04-18 |
1831406362 | Sheran Elizabeth Waters-lanchester | Marriage & Family Therapist | 934 W 134th Pl, Compton, CA 90222 | 2010-09-03 |
1679751820 | Michael Porco | Marriage & Family Therapist | 215 S Acacia Ave, Compton, CA 90220-3102 | 2008-02-08 |
1447461397 | Stacy Simone | Marriage & Family Therapist | 600 N Alameda St East, Compton, CA 90221 | 2007-05-24 |
1750597936 | Dana P Marion | Marriage & Family Therapist | 509 E Rosecrans Ave, Compton, CA 90221 | 2007-05-15 |
Find all providers in COMPTON |
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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.