MS. JACQUIE Z. RANDALL (NPI# 1740328806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740328806 |
| Entity Type | Individual |
| Full Name | MS. JACQUIE Z. RANDALL |
| Credential | MS |
| Practice Address |
25 Rolling Oaks Dr Suite 204 Thousand Oaks CA 91361-1002 |
| Mailing Address |
105 E Janss Rd Thousand Oaks CA 91360-3324 |
| Practice Telephone | 8053736585 |
| Mailing Telephone | 8053736585 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 29219 | CA | Behavioral Health & Social Service Providers |
| Street Address |
25 ROLLING OAKS DR SUITE 204 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215352471 | Vicki Skelton | Marriage & Family Therapist | 25 Rolling Oaks Dr, #208, Thousand Oaks, CA 91361-1002 | 2014-02-25 |
| 1871748798 | Laura Cavarretta | Psychologist | 25 Rolling Oaks Dr, Suite 204, Thousand Oaks, CA 91361-1002 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221550 | Brittany Smith | Marriage & Family Therapist | 299 W Hillcrest Dr Ste E805-379, Thousand Oaks, CA 91360-4264 | 2020-09-28 |
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1801446216 | Darilyn Lee Shano | Marriage & Family Therapist | 491 Gladstone Dr, Thousand Oaks, CA 91360-5221 | 2019-09-17 |
| 1578118147 | Cynthia Marie Levy | Marriage & Family Therapist | 2800 Camino Dos Rios Ste 101-a, Thousand Oaks, CA 91320-1138 | 2019-08-09 |
| 1942865084 | Karen Shurtz | Marriage & Family Therapist | 25 Rolling Oaks Dr Ste 204, Thousand Oaks, CA 91361-1009 | 2019-05-03 |
| 1588129621 | Denise Valentino | Marriage & Family Therapist | 249 Dryden St, Thousand Oaks, CA 91360-5304 | 2019-02-03 |
| 1538643747 | Erika Dahle Petras | Marriage & Family Therapist | 100 E Thousand Oaks Blvd Ste 234, Thousand Oaks, CA 91360-8156 | 2018-09-24 |
| 1346721776 | Julieta Barenbaum | Marriage & Family Therapist | 325 E Hillcrest Dr Ste 123, Thousand Oaks, CA 91360-7780 | 2018-08-23 |
| 1982182853 | Danette Balen-garcia | Marriage & Family Therapist | 367 E Thousand Oaks Blvd, Thousand Oaks, CA 91360-8253 | 2018-08-02 |
| 1932603438 | Rufus Courtney Gwyn | Marriage & Family Therapist | 123 Hodencamp Rd Ste 205, Thousand Oaks, CA 91360-5834 | 2018-03-20 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on MS. JACQUIE Z. RANDALL.
| 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.