SUE BARCO (NPI# 1689096448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689096448 |
| Entity Type | Individual |
| Full Name | SUE BARCO |
| Practice Address |
4401 Crenshaw Blvd Los Angeles CA 90043 |
| Mailing Address |
3031 S.vermont Avenue Los Angeles CA 90007 |
| Practice Telephone | 3232908360 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| 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 | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
4401 CRENSHAW BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538219902 | Ramona Wells | Marriage & Family Therapist | 4401 Crenshaw Blvd, Suite 300, Los Angeles, CA 90043-1227 | 2007-01-10 |
| 1417562653 | Priscilla Vazquez | Student in an Organized Health Care Education/Training Program | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2020-09-14 |
| 1366081291 | Amarilis Paredes | Assistant Behavior Analyst | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2019-12-23 |
| 1194362715 | Michelle Matayoshi | Behavior Technician | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2019-12-02 |
| 1235773920 | Michal Jackson Terrell | Marriage & Family Therapist | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2019-11-05 |
| 1972079101 | Grace Elizabeth Burke | Counselor | 4401 Crenshaw Blvd, Los Angeles, CA 90043 | 2018-10-15 |
| 1942784087 | Wendy Araujo | Counselor | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2018-09-24 |
| 1306322128 | Gary Kelly | Marriage & Family Therapist | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2018-07-15 |
| 1306353594 | Tina Janan | Rehabilitation Counselor | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2018-01-09 |
| 1770002198 | Natalie Aleshin | Student in an Organized Health Care Education/Training Program | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| 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 |
|---|---|---|---|---|
| 1952913055 | Jose Islas | Counselor | 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 | 2020-08-19 |
| 1154931491 | Delia Maria Cortez | Counselor | 12133 Clarkson Rd, Los Angeles, CA 90064-3519 | 2020-08-02 |
| 1457974263 | Simeon Simov | Counselor | 11845 W Olympic Blvd # 815e, Los Angeles, CA 90064-1149 | 2020-05-27 |
| 1780206524 | Keisha Whitfield | Counselor | 1123 W 7th St # 25, Los Angeles, CA 90017-2409 | 2020-05-14 |
| 1467073965 | Flowlab Inc | Counselor | 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 | 2020-05-06 |
| 1619504925 | Tanisha N Tatum | Counselor | 5777 W Century Blvd # 11102035, Los Angeles, CA 90045-5600 | 2020-03-25 |
| 1083241988 | Rezolve Telemed | Counselor | 8275 Kirkwood Dr, Los Angeles, CA 90046-1923 | 2020-03-23 |
| 1902439656 | Maria Velazquez | Counselor | 5318 S Crenshaw Blvd, Los Angeles, CA 90043-1810 | 2020-02-20 |
| 1922647569 | Ping Sun | Counselor | 520 S Sepulveda Blvd Ste 200, Los Angeles, CA 90049-3534 | 2019-12-30 |
| 1780233213 | Rafael Martin Perez | Counselor | 5955 Hooper Ave Apt A, Los Angeles, CA 90001-1292 | 2019-09-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
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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.