MEMORYCO, LLC (NPI# 1780137596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780137596 |
| Entity Type | Organization |
| Organization Name | MEMORYCO, LLC |
| Practice Address |
2248 Saint Bernard Drive Pine Mountain Club CA 93222 |
| Mailing Address |
Po Box 5253 Pine Mountain Club CA 93222-5253 |
| Practice Telephone | 3234863626 |
| Mailing Telephone | 3234863626 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | DR. ALI S TITIZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6505213452 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2248 SAINT BERNARD DRIVE |
| City | PINE MOUNTAIN CLUB |
| State | CA |
| Zip Code | 93222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114331485 | Bonnie Jensen | Massage Therapist | 16501 Oakwood, Pine Mountain Club, CA 93222 | 2014-06-16 |
| 1801925359 | Laurel Quinn | Marriage & Family Therapist | 15908 Zurich Way, Frazier Park, CA 93222-0013 | 2007-03-02 |
| 1811231236 | Jessica L Hawley | Occupational Therapist | 1701 Linden Court, Pine Mountain Club, CA 93222-5077 | 2012-11-26 |
| 1740419027 | Tec Star Medical Solutions | Case Management | 15325 Acacia Way, Frazier Park, CA 93222-5204 | 2009-07-08 |
| 1851518427 | Ruth Handy | Social Worker | 2012 Pioneer Way, Frazier Park, CA 93222-5329 | 2007-04-18 |
| 1609135979 | Christine Irene Buma | Marriage & Family Therapist | 1528 Linden Dr, Pine Mountain Club, CA 93222-6502 | 2012-05-08 |
| 1144644998 | Pine Mountain Nursing Health Center | Clinic/Center | 16233 Askin Dr, Suite A, Frazier Park, CA 93222-6536 | 2014-02-14 |
| 1790898039 | Sharon Margaret Powell | Nurse Practitioner | 16233 Askin Dr., Suite A, Frazier Park, CA 93222-6536 | 2006-08-17 |
| 1679722540 | Sarah Anne Edwards | Social Worker | 2624 Teakwood Court, Pine Mountain Club, CA 93222-6775 | 2008-09-16 |
| 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 |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | PINE MOUNTAIN CLUB |
| Zip Code | 93222 |
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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.