LACEY MARIE HEMEON (NPI# 1801448659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801448659 |
Entity Type | Individual |
Full Name | LACEY MARIE HEMEON |
Credential | LPT |
Practice Address |
212 Carmen Ln Ste 201 Santa Maria CA 93458-7771 |
Practice Telephone | 8052127680 |
Practice Fax Number | 8057289492 |
Mailing Telephone | 8052127680 |
Mailing Fax Number | 8057289492 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 40451 | CA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | TELECARE CORPORATION-CARMEN LANE | 1245897354 | 01 |
Street Address |
212 CARMEN LN STE 201 |
City | SANTA MARIA |
State | CA |
Zip Code | 93458-7771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184769101 | Phillip A Jones | Social Worker | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2007-02-20 |
1568061620 | Alyssia N Wright | Counselor | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2020-10-20 |
1497369276 | Juan Miguel Santos-medina | Counselor | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2020-08-31 |
1184236622 | Richelle Rose Aguirre | Licensed Psychiatric Technician | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2020-08-17 |
1538782800 | Maria D Rubalcava | Case Manager/Care Coordinator | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2020-05-21 |
1740828359 | Monique Brianna Deleon | Counselor | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2019-12-13 |
1194379735 | Jessica Lozano | Licensed Vocational Nurse | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2019-07-31 |
1972156594 | Jimmy Barrera Rojas | Counselor | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2019-07-23 |
1194377077 | Shannon Lee Power | Counselor | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2019-07-11 |
1245897354 | Telecare Corporation | Psychiatric Residential Treatment Facility | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2019-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
Find all providers in zip 93458 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316440753 | Chastity Lynn O'brien | Licensed Psychiatric Technician | 1836 Alhambra Ave, Santa Maria, CA 93458-8337 | 2018-03-12 |
1891151577 | Lauren Frushon | Licensed Psychiatric Technician | 2057 Mariah Dr, Santa Maria, CA 93454-5521 | 2016-01-11 |
1326111360 | Deneice Tell | Licensed Psychiatric Technician | 124 Carmen Ln Ste K, Santa Maria, CA 93458-7768 | 2006-11-16 |
1184236622 | Richelle Rose Aguirre | Licensed Psychiatric Technician | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2020-08-17 |
1508404260 | Ruby Akowuah | Licensed Psychiatric Technician | 116 Agnes Ave, Santa Maria, CA 93458-2838 | 2019-12-12 |
1053962480 | Tabitha Wambaa | Licensed Psychiatric Technician | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-09-26 |
1639665284 | Veronica Dobrick | Licensed Psychiatric Technician | 116 Agnes Ave, Santa Maria, CA 93458-2838 | 2018-07-06 |
1770085334 | Peter Joseph Curto II | Licensed Psychiatric Technician | 124 Carmen Ln Ste A, Santa Maria, CA 93458 | 2018-02-28 |
1427565605 | Kimberly Denise Cattaneo | Licensed Psychiatric Technician | 117 W Tunnell St, Santa Maria, CA 93458-4096 | 2018-01-09 |
1437698362 | Lauro L Garcia | Licensed Psychiatric Technician | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2017-02-12 |
Find all providers in SANTA MARIA |
City | SANTA MARIA |
Zip Code | 93458 |
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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.