VIVIAN LOUSIE NNANA (NPI# 1730636960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730636960 |
| Entity Type | Individual |
| Full Name | VIVIAN LOUSIE NNANA |
| Other Name | MRS. VIVIAN LOUSIE NNANA |
| Credential | MSW |
| Practice Address |
15095 Amargosa Rd Ste 201 Victorville CA 92394-1875 |
| Mailing Address |
15095 Amargosa Rd Ste 208 Victorville CA 92394-1879 |
| Practice Telephone | 7602454695 |
| Mailing Telephone | (760) 245-4695 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 20140602051601 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4495 Coppermine St, Riverside, CA 925011589 | 9518808303 |
| Street Address |
15095 AMARGOSA RD STE 201 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92394-1875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783672 | Ellen-ruby S. Santos | Counselor | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1868 | 2008-09-23 |
| 1245838978 | Kimberly Millet | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2020-10-14 |
| 1588262216 | John David Segura | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2020-10-14 |
| 1972101863 | Sarah Ashley Diaz | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2020-10-13 |
| 1912565003 | Melody Lynn Booth | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2019-06-03 |
| 1942779533 | Argelia Amador | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2018-11-13 |
| 1205326469 | Willie Renee Horenburg | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2018-05-14 |
| 1144721408 | Victor J Gutierrez | Case Manager/Care Coordinator | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2018-02-22 |
| 1528571114 | Elnora Moree Thompson | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2017-11-06 |
| 1659894004 | Kimberly Renee Thompson | Community Health Worker | 15095 Amargosa Rd Ste 201, Victorville, CA 92394-1875 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045803 | Desert Horizon Residential Care | Assisted Living Facility | 15952 Condor Rd, Victorville, CA 92394 | 2020-05-28 |
| 1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
| 1811543473 | Silvano Gonzalez | Transportation Broker | 13767 Hidden Mesa Ct, Victorville, CA 92394 | 2019-08-09 |
| 1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1093068322 | City Taxi | Taxi | 14871 Totem Pole St, Victorville, CA 92394 | 2012-10-24 |
| 1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
| 1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
| 1164604906 | Maxim Healthcare Services, Inc. | Home Health | 15095 Amargosa Road, Suite 102, Victorville, CA 92394 | 2007-12-04 |
| Find all providers in zip 92394 | ||||
| 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 |
|---|---|---|---|---|
| 1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
| 1265949564 | Hd Christian Family Counseling, LLC | Counselor | 14420 Civic Dr Ste 4, Victorville, CA 92392-2384 | 2018-01-08 |
| 1306372586 | Sandy Grisel Mendoza | Counselor | 14499 Begonia Rd Apt 69, Victorville, CA 92392-5916 | 2017-05-07 |
| 1124560644 | Audrey Saber | Counselor | 13211 Eclipse Ave, Victorville, CA 92392-5034 | 2016-11-15 |
| 1912457177 | Evonne Torres Tirado | Counselor | 14360 St Andrews Dr Ste 11, Victorville, CA 92395-4341 | 2016-10-11 |
| 1912386293 | Sara Dickson | Counselor | 12188 Hesperia Rd Ste 100, Victorville, CA 92395-5822 | 2015-05-20 |
| 1114356797 | Sydney Shanel Stewart | Counselor | 9942 Svl Box, Victorville, CA 92395-5144 | 2013-11-05 |
| 1043476526 | Jessica Marie Ferreira | Counselor | 15095 Amargosa Rd., Suite # 201, Victorville, CA 92395-4341 | 2008-08-04 |
| 1669675237 | Anthony Michael Mcadams | Counselor | 13333 Palmdale Rd., Victorville, CA 92393 | 2007-06-08 |
| 1316005689 | Manuel Duran Morales | Counselor | 14360 Saint Andrews Dr Ste 11, Victorville, CA 92395-4341 | 2006-12-05 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92394 |
Please comment or provide details below to improve the information on VIVIAN LOUSIE NNANA.
| 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.