TABITHA HAGANS (NPI# 1790244127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790244127 |
| Entity Type | Individual |
| Full Name | TABITHA HAGANS |
| Practice Address |
3625 14th St Riverside CA 92501-3815 |
| Mailing Address |
Po Box 1842 San Jacinto CA 92581-1842 |
| Practice Telephone | 9519551540 |
| Mailing Telephone | 9515817751 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APCC5770 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3625 14TH ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326124751 | Praise C Okoh | Marriage & Family Therapist | 3625 14th St, Riverside, CA 92501-3815 | 2006-10-27 |
| 1558968396 | Jessierae Contreras | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2020-10-05 |
| 1639784218 | Pamela Joyce Mckee | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2020-09-10 |
| 1346865946 | Melissa Coulson | Social Worker | 3625 14th St, Riverside, CA 92501-3815 | 2020-06-10 |
| 1245863091 | Horace William Corey Jr. | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2020-02-20 |
| 1356974869 | Carissa T Glover | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2020-02-13 |
| 1790324366 | Garland Edward Brotherton | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2019-12-31 |
| 1750927125 | Kimberlee Sue Maternowski | Licensed Vocational Nurse | 3625 14th St, Riverside, CA 92501-3815 | 2019-11-20 |
| 1982246518 | Robyn Michel Loyd | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2019-10-15 |
| 1083175921 | Dena Racquel Washington | Licensed Vocational Nurse | 3625 14th St, Riverside, CA 92501-3815 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265969471 | Cc Wellness Solutions, LLC | Counselor | 39 E Quincy St, Riverside, IL 60546-2128 | 2017-05-18 |
| 1184158289 | Sarah Elizabeth Venhorst | Counselor | 275 Lionel Rd, Riverside, IL 60546-2262 | 2017-04-14 |
| 1881040335 | Margaret Hejna | Counselor | 174 Akenside Rd, Riverside, IL 60546-1811 | 2016-05-13 |
| 1588023022 | Margaret Arneille Lucero | Counselor | 8644 Newton Pl, Riverside, CA 92508-2526 | 2016-02-11 |
| 1952715138 | Jenna Marie Mendez | Counselor | 3576 Arlington Ave Ste 204, Riverside, CA 92506-3984 | 2014-06-17 |
| 1205240728 | Casey Williams | Counselor | 232 Hollys Ln, Riverside, AL 35135-1831 | 2014-06-12 |
| 1255671707 | Karima Deadrick | Counselor | 10281 Kidd St, 2nd Floor, Riverside, CA 92503-3414 | 2013-02-20 |
| 1942580790 | Margaret Nelson Pechota, Phd | Counselor | 28 E Burlington St, Riverside, IL 60546-2125 | 2011-08-25 |
| 1558480731 | Jose Javier Juarez | Counselor | 6529 Riverside Ave Ste 270, Riverside, CA 92506-3122 | 2007-03-28 |
| 1548317001 | Lu Ann Ahrens | Counselor | 5053 La Mart Drive, Suite 105, Riverside, CA 92507-5993 | 2007-01-05 |
| Find all providers in RIVERSIDE | ||||
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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.