JAYNE KAY ARCHIBALD (NPI# 1760997852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760997852 |
| Entity Type | Individual |
| Full Name | JAYNE KAY ARCHIBALD |
| Practice Address |
16823 Arrow Blvd Fontana CA 92335-3803 |
| Mailing Address |
6145 Honeysuckle Ln San Bernardino CA 92407-2203 |
| Practice Telephone | 9093553888 |
| Mailing Telephone | 9098099242 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PCCI4520 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6391 Magnolia Ave, Riverside, CA 925062424 | 9517740854 |
| Street Address |
16823 ARROW BLVD |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801271499 | Maria De Jesus Nunez-flores | Marriage & Family Therapist | 16823 Arrow Blvd, Fontana, CA 92335-3803 | 2015-07-23 |
| 1407212947 | Maria Lourdes Camarena | Marriage & Family Therapist | 16823 Arrow Blvd, Fontana, CA 92335-3803 | 2016-01-14 |
| 1770949182 | Nadine Rubio | Marriage & Family Therapist | 16823 Arrow Blvd, Fontana, CA 92335-3803 | 2016-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| 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 |
|---|---|---|---|---|
| 1285240911 | Gar Industries, LLC | Counselor | 14050 Cherry Ave Ste R-1077, Fontana, CA 92337-0766 | 2020-09-18 |
| 1629600341 | Trauma and Healing Foundation | Counselor | 17057 Foothill Blvd Ste 205, Fontana, CA 92335-3574 | 2020-02-11 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| 1316411911 | Jared Willhide-james | Counselor | 14677 Merill Ave., Fontana, CA 92335 | 2019-01-16 |
| 1043750342 | Janil Shantil Frost | Counselor | 14677 Merrill Ave., Fontana, CA 92335 | 2017-03-06 |
| 1821408949 | Garran Alexander Smith | Counselor | 8014 Mango Ave, Apt F75, Fontana, CA 92336-3352 | 2014-04-28 |
| 1306054986 | David Evan Martin | Counselor | 17830 Arrow Blvd, Fontana, CA 92335-4037 | 2007-05-18 |
| 1407474554 | Brittney Lynn Quezada | Counselor | 14677 Merrill Ave, Fontana, CA 92335-4219 | 2020-07-06 |
| 1891310645 | Louie John Martinez | Counselor | 14677 Merrill Ave, Fontana, CA 92335-4219 | 2020-06-08 |
| 1275170003 | Isabel Cynthia Guerrero | Counselor | 14677 Merrill Avenue, Fontana, CA 92335 | 2019-11-27 |
| Find all providers in FONTANA | ||||
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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.