JESSICA LARA (NPI# 1720550874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720550874 |
Entity Type | Individual |
Full Name | JESSICA LARA |
Practice Address |
22519 Garzota Dr Santa Clarita CA 91350-2247 |
Practice Telephone | 8183833201 |
Mailing Telephone | 8183833201 |
Enumeration Date | 2018-12-28 |
Last Update Date | 2018-12-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1328991118 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222648 | Jessica Lara | Behavior Technician | 3255 Old Conejo Rd, Thousand Oaks, CA 91320-2153 | 2020-10-15 |
1083269138 | Jessica Lara | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2019-08-06 |
1992174965 | Jessica April Lara | Psychologist | 2200 Tydd St, Eureka, CA 95501 | 2015-09-21 |
1063843522 | Jessica Lara | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2013-12-10 |
1750717880 | Jessica Lara | Rehabilitation Counselor | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2013-09-20 |
1184057473 | Jessica Lynn Lara | Physician Assistant | 2861 W 120th Ave, Westminster, CO 80234-2987 | 2013-08-10 |
Street Address |
22519 GARZOTA DR |
City | SANTA CLARITA |
State | CA |
Zip Code | 91350-2247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730721713 | Adelaida Sanchez | Technician | 26144 Gravett Pl, Santa Clarita, CA 91350 | 2019-10-11 |
1164081873 | Brenda Yanez | Case Manager/Care Coordinator | 21545 Centre Ponite Pkwy, Santa Clarita, CA 91350 | 2019-06-07 |
1689149643 | Candace Lenore Hernandez | Marriage & Family Therapist | 28100 Bouquet Canyon Road Suite 218, Santa Clarita, CA 91350 | 2018-10-05 |
1508380817 | Melanie Rivas | Case Manager/Care Coordinator | 21545 Centre Pointe Parkway, Santa Clarita, CA 91350 | 2017-07-28 |
1124550850 | Action Family Counseling Bakersfield Rtc | Psychiatric Residential Treatment Facility | 26393 Bouquet Canyon Rd # C-134, Santa Clarita, CA 91350 | 2017-03-31 |
1346772381 | Action Family Counseling The Ranch | Substance Abuse Rehabilitation Facility | 26393 Bouquet Canyon Rd, C-134, Santa Clarita, CA 91350 | 2017-03-29 |
1124566492 | American Health Services | Case Management | 26460 Summit Circle, Santa Clarita, CA 91350 | 2017-02-07 |
1780058313 | Ariana Gomez | Marriage & Family Therapist | 21545 Centre Pointe Pkw, Santa Clarita, CA 91350 | 2015-11-19 |
1114306149 | Aaron Manfre | Marriage & Family Therapist | 21545 Centre Pointe Pwky, Santa Clarita, CA 91350 | 2015-05-22 |
1962811042 | Sam Bekhit | Pharmacist | 67471 Carl Boyer Drive, Canyon Country, CA 91350 | 2014-08-04 |
Find all providers in zip 91350 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548680523 | Gwendolyn Macdonald | Counselor | 26708 Oak Pluma Ct, Santa Clarita, CA 91321-1441 | 2014-04-17 |
1134323645 | Mayra Arambula | Counselor | 21754 Fritz Way, Santa Clarita, CA 91390-5717 | 2007-06-11 |
1568925931 | Cyrush Akbar | Counselor | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-04-11 |
1780145029 | Amanda Ellis | Counselor | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-03-28 |
1639647910 | Megan Brooke Stewart | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-11-05 |
1760959597 | Derek Bourdess | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-10-30 |
1699269662 | Oscar Alvarez | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2018-06-21 |
1619489382 | Jodi Sharp | Counselor | 24460 Lyons Ave, Santa Clarita, CA 91321-2347 | 2017-11-02 |
1235662990 | Joshua Davis | Counselor | 38215 San Francisquito Canyon Rd, Santa Clarita, CA 91390-4914 | 2017-04-09 |
1366973562 | Sofia Vargas | Counselor | 26460 Summit Cir, Santa Clarita, CA 91350-2991 | 2017-03-21 |
Find all providers in SANTA CLARITA |
City | SANTA CLARITA |
Zip Code | 91350 |
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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.