THE NORTH STAR CENTER FOR MARRIAGE AND FAMILY THERAPY, INC. (NPI# 1790271716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790271716 |
| Entity Type | Organization |
| Organization Name | THE NORTH STAR CENTER FOR MARRIAGE AND FAMILY THERAPY, INC. |
| Practice Address |
Faith Recovery 2211 Suite C Palo Verde Ave Long Beach CA 90815 |
| Mailing Address |
Po Box 880 Seal Beach CA 90740-0880 |
| Practice Telephone | 3107702744 |
| Mailing Telephone | 3107702744 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | JEMMA CANNON (OWNER) |
| Authorized Official Telephone | 3107702744 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
FAITH RECOVERY 2211 SUITE C PALO VERDE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| 1801221890 | Derick Tom | Physical Therapist | 2021 N. Beverly Plaza Apt#142, Long Beach, CA 90815 | 2013-09-09 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851888 | Summer V Vilkins | Counselor | 269 Kennebec Ave Apt 3, Long Beach, CA 90803-5772 | 2020-08-10 |
| 1346875085 | Cherrie-ann K Simon | Counselor | 3503 Linden Ave Apt 207, Long Beach, CA 90807-4532 | 2020-03-03 |
| 1679119507 | Melissa Ann Aguilar | Counselor | 20 W Park Ave Ste 306, Long Beach, NY 11561-2019 | 2019-11-26 |
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1477104065 | Sok Khen Kim | Counselor | 841 Gardenia Ave Apt 201, Long Beach, CA 90813-5935 | 2019-09-25 |
| 1174172431 | Sari Klar Mental Health Counseling P.C. | Counselor | 370 W Broadway Apt 6y, Long Beach, NY 11561-3959 | 2019-09-10 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1265094155 | Subha Smith | Counselor | 440 E Freeland St Apt 1, Long Beach, CA 90807-2128 | 2019-07-01 |
| 1750941688 | Chanel Samantha Simpson | Counselor | 920 Atlantic Ave Ste 101, Long Beach, CA 90813-4592 | 2019-06-13 |
| 1801455696 | Linda Dianne Ensch | Counselor | 1517 Pacific Ave N, Long Beach, WA 98631-3596 | 2019-06-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on THE NORTH STAR CENTER FOR MARRIAGE AND FAMILY THERAPY, INC..
| 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.