MS. MARY POWELL (NPI# 1780725655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780725655 |
Entity Type | Individual |
Full Name | MS. MARY POWELL |
Credential | BA, BS, RAS |
Practice Address |
3707 Sunset Lane Antioch CA 94509-6101 |
Mailing Address |
3707 Sunset Ln Antioch CA 94509-6101 |
Practice Telephone | 9255220124 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457751141 | Mary Ann Powell | Case Management | 12220 Chattanooga Plaza, #173, Midlothian, VA 23112 | 2014-08-29 |
1184850521 | Mary M Powell | General Practice | 3508 Tyson Rd., Newtown Sq, PA 19073 | 2009-05-29 |
1518131879 | Mary Frances Powell | Licensed Practical Nurse | 69 Stephens Rd, Akron, OH 44312-1035 | 2008-04-17 |
1740306430 | Mary Margaret Powell | Counselor | 1304 Yates St, Denver, CO 80204-1029 | 2007-03-22 |
1821127515 | Mary Anne Powell | Speech-Language Pathologist | 2 Avenida Torreon, Santa Fe, NM 87508-8852 | 2007-03-05 |
1902992902 | Mary Powell | Social Worker | 286 Bryson Ave, Staten Island, NY 10314-1923 | 2006-10-05 |
1932200300 | Mary Lindsay Powell | Nurse Practitioner | 270 Congress Ave, New Haven, CT 06519-1403 | 2006-09-26 |
1316921349 | Mary M Powell | Internal Medicine | 519 Mt Pleasant Rd, Thomson, GA 30824 | 2005-12-02 |
1740264779 | Mary V Powell | Registered Nurse | 289 W Huntington Dr Ste 205, Arcadia, CA 91007-3492 | 2005-12-02 |
1114469988 | Mary Powell | Counselor | 241 Greenhouse Rd, Lexington, VA 24450-3717 | 2016-11-10 |
Street Address |
3707 SUNSET LANE |
City | ANTIOCH |
State | CA |
Zip Code | 94509-6101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447611777 | Michael Berry | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2016-03-15 |
1598049363 | Marie Elizabeth Goess-saurau | Psychologist | 3707 Sunset Lane, Baart/cdp, Antioch Clinic, Antioch, CA 94509 | 2011-09-28 |
1124218193 | Wayne Sanders | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-07-26 |
1689873754 | Tracy Phillips | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-07-17 |
1225161847 | Debra Rich | Licensed Vocational Nurse | 3707 Sunset Lane, Antioch, CA 94509-6101 | 2007-03-13 |
1225172752 | Linda Marie Crosley | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
Find all providers in zip 94509 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861646036 | Zahra Rooshen | Counselor | 5506 Dawnview Way, Antioch, CA 94531-8616 | 2008-11-13 |
1023213311 | Sue G Mankini | Counselor | 2828 Filbert St, Antioch, CA 94509-7336 | 2007-06-18 |
1689875510 | Erion L Moore I | Counselor | 1728 Sanger Peak Way, Antioch, CA 94531-9127 | 2007-05-29 |
1811101843 | Agueda Philbin | Counselor | 300 L St, Antioch, CA 94509-1159 | 2007-05-09 |
1962624734 | Lendsey Wayne Busby | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2007-05-02 |
1801924576 | Felisa D Gaffney | Counselor | 3700 Delta Fair Blvd Ste 210, Antioch, CA 94509 | 2007-03-02 |
1992318869 | Skyler Sanderson | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2020-08-28 |
1861001216 | Toby Martin Disney | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2020-07-30 |
1598390973 | Brittney Leigh Smith | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-03-06 |
1881234391 | Jason Edward Meadors Sr. | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2020-01-13 |
Find all providers in ANTIOCH |
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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.