GERARDO MORENO FUENTES (NPI# 1770748592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770748592 |
| Entity Type | Individual |
| Full Name | GERARDO MORENO FUENTES |
| Practice Address |
425 Vernon St Oakland CA 94610-2927 |
| Mailing Address |
1319 Fruitvale Ave Oakland CA 94601-2927 |
| Practice Telephone | 5104191040 |
| Practice Fax Number | 5104191043 |
| Mailing Telephone | 5105352303 |
| Mailing Fax Number | 5105352346 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
425 VERNON ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94610-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456130 | Anthony Carey Mcmillan | Counselor | 425 Vernon St, Oakland, CA 94610-2981 | 2020-10-30 |
| 1881089647 | Teresa Dejesus Mendoza | Counselor | 425 Vernon St, Oakland, CA 94610 | 2015-03-30 |
| 1982021051 | Jose Rincon Jr. | Counselor | 425 Vernon St, Oakland, CA 94610-2927 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
| 1073042628 | Thien Lake Acupuncture | Clinic/Center | 3654 Grand Aveune, Oakland, CA 94610 | 2017-06-07 |
| 1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
| 1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
| 1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
| 1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
| 1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
| 1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
| 1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
| 1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
| Find all providers in zip 94610 | ||||
| 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 |
|---|---|---|---|---|
| 1760099832 | Marlena Sara Hartman-filson | Counselor | 422 38th St Apt A, Oakland, CA 94609-2778 | 2020-09-23 |
| 1801412689 | Lindsey Schwartz | Counselor | 7200 Bancroft Ave, Building B, Ste 133, Oakland, CA 94605-2480 | 2020-06-17 |
| 1013538487 | Alex Weinstein | Counselor | 4264 Norton Ave, Oakland, CA 94602-4018 | 2020-04-27 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1992342810 | Zoe Karanfilian | Counselor | 62 Vancleave Way, Oakland, CA 94619-2340 | 2019-12-10 |
| 1881154763 | Cia A Robles | Counselor | 3798 Grand Ave Ste 1, Oakland, CA 94610-1527 | 2019-03-25 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1013489954 | Jasmine J Rutherford | Counselor | 3301 E 12th St Ste 116, Oakland, CA 94601-3424 | 2018-12-17 |
| 1366910549 | Raven Porter | Counselor | 2747 76th Ave, Oakland, CA 94605-2809 | 2018-11-06 |
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| Find all providers in OAKLAND | ||||
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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.