DENYEL BRALEY (NPI# 1710332630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710332630 |
| Entity Type | Individual |
| Full Name | DENYEL BRALEY |
| Practice Address |
6302 Thirteenth Ave. Lucerne CA 95458 |
| Mailing Address |
Po Box 1024 Lucerne CA 95458-1024 |
| Practice Telephone | 7072741901 |
| Practice Fax Number | 7072741992 |
| Mailing Telephone | 7072741901 |
| Mailing Fax Number | 7072749192 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
6302 THIRTEENTH AVE. |
| City | LUCERNE |
| State | CA |
| Zip Code | 95458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265747984 | Jamilyn D Trillo | Counselor | 6302 Thirteenth Ave., Lucerne, CA 95458 | 2010-08-18 |
| 1376804435 | Jeanette Nicole Laird | Counselor | 6302 Thirteenth Ave., Lucerne, CA 95458-1024 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527512 | Shawna Dee Theodorou | Case Manager/Care Coordinator | 6302 Thirteeth Ave, Lucerne, CA 95458 | 2019-09-13 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1750848396 | Catherine Denise Miller | Case Manager/Care Coordinator | 6302 13 Th Ave, Lucerne, CA 95458 | 2019-03-01 |
| 1043774193 | Priest Martinez | Counselor | 6300 E Hwy 20 Unit B, Lucerne, CA 95458 | 2019-01-23 |
| 1700308962 | Joao Adeles Barta | Case Manager/Care Coordinator | 6302 Thirteenth Av., Lucerne, CA 95458 | 2017-07-10 |
| 1154872737 | Deborah Annette Schmidt | Licensed Vocational Nurse | 6302 13th Ave., Lucerne, CA 95458 | 2016-10-19 |
| 1922496199 | Pearlina Drummond | Counselor | 3937 Foothill Drive, Lucerne, CA 95458 | 2014-12-22 |
| 1467881672 | Lucerne Elementary | Local Education Agency (LEA) | 3351 Country Club Drive, Lucerne, CA 95458 | 2013-11-07 |
| 1003245960 | Hilltop Recovery Services | Substance Abuse Rehabilitation Facility | 3937 Foothill Dr, Lucerne, CA 95458 | 2013-11-01 |
| 1053618652 | Chris Partida | Counselor | 6302 13th Ave, Lucerne, CA 95458 | 2011-02-16 |
| Find all providers in zip 95458 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265747984 | Jamilyn D Trillo | Counselor | 6302 Thirteenth Ave., Lucerne, CA 95458 | 2010-08-18 |
| 1417015413 | Kevin Lee Thompson | Counselor | 6302 13th Street, Lucerne, CA 95458-8106 | 2006-12-04 |
| 1245682392 | Teresa Lynn Wilson | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2016-07-12 |
| 1861801151 | James William Isherwood IIi | Counselor | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2014-08-12 |
| 1649513607 | Linda Marie Aldridge | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2013-03-28 |
| 1649490111 | Sheila Elaine Roseneau | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458-1024 | 2007-04-26 |
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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.