KRISSIE DELEON (NPI# 1710483706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710483706 |
| Entity Type | Individual |
| Full Name | KRISSIE DELEON |
| Practice Address |
16170 Main St Ste F Lower Lake CA 95457-7603 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7079945486 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| 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 | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
16170 MAIN ST STE F |
| City | LOWER LAKE |
| State | CA |
| Zip Code | 95457-7603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417348137 | Valerie Mick | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2015-02-17 |
| 1396259230 | Melissa Farrell | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2017-11-30 |
| 1568985687 | Micah Allison | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2017-07-20 |
| 1952837544 | Richard Hoffman | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457 | 2017-05-03 |
| 1922549757 | Lancy Armstrong | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2017-03-13 |
| 1295116317 | Mary Wolfe | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2015-06-15 |
| 1871974238 | Shannon Trout | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275813214 | Sydney Adolfo Berro | Marriage & Family Therapist | 16170 Main Street, Lower Lake, CA 95457 | 2011-08-23 |
| 1457503815 | Lake County Office of Education Safe Schools | Local Education Agency (LEA) | 9707 Winchester Street, Lower Lake, CA 95457 | 2008-10-16 |
| 1801063870 | Adventist Health Home Care Services of Redbud | Home Health | 9245 Hwy 53, Lower Lake, CA 95457 | 2008-05-09 |
| 1538386180 | Dennis L. Day | Chiropractor | 16205 Main Street, Lower Lake, CA 95457 | 2007-04-18 |
| 1821134271 | Terra Renne Wilson | Counselor | 9345 Winchester, Lower Lake, CA 95457 | 2007-01-30 |
| 1114086238 | Tim Sherrell | Social Worker | 9667 Highway 29, Suite 200, Lower Lake, CA 95457 | 2006-12-06 |
| 1083729420 | Dorothy L. Moyer | Psychologist | 9667 Hwy 29, Rural Post Office Will Not Deliver, Lower Lake, CA 95457 | 2006-08-19 |
| 1407181225 | Lake County Community Action Agency | Community/Behavioral Health | 9345 Winchester, Lower Lake, CA 95457 | 2009-10-13 |
| 1841525144 | Lake County Community Action Agency | Community/Behavioral Health | 9345 Winchester, Lower Lake, CA 95457 | 2009-10-05 |
| 1760548572 | Ralph A Fiedler | Chiropractor | 9667 Hwy 29, Ste 101, Lower Lake, CA 95457 | 2006-12-28 |
| Find all providers in zip 95457 | ||||
| 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 |
|---|---|---|---|---|
| 1417348137 | Valerie Mick | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2015-02-17 |
| 1396259230 | Melissa Farrell | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2017-11-30 |
| 1568985687 | Micah Allison | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2017-07-20 |
| 1952837544 | Richard Hoffman | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457 | 2017-05-03 |
| 1922549757 | Lancy Armstrong | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2017-03-13 |
| 1295116317 | Mary Wolfe | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2015-06-15 |
| 1871974238 | Shannon Trout | Counselor | 16170 Main St Ste F, Lower Lake, CA 95457-7603 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | LOWER LAKE |
| Zip Code | 95457 |
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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.