MRS. JENNIFER MARIE PEREZ (NPI# 1871702795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871702795 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE PEREZ |
| Practice Address |
2772 Martin Luther King Blvd. Fresno CA 93706 |
| Mailing Address |
5356 N Valentine Ave Apt 202 Fresno CA 93711-4057 |
| Practice Telephone | 5592654800 |
| Mailing Telephone | 5592615405 |
| Enumeration Date | 2007-05-21 |
| 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 |
|---|---|---|---|---|
| 1992333074 | Jennifer Lynne Malapitan Perez | Student in an Organized Health Care Education/Training Program | 129 S Astell Ave, West Covina, CA 91790-3110 | 2020-04-01 |
| 1134765076 | Jennifer Perez | Behavior Technician | 17 Cedar Run Apt Q, Atlanta, GA 30350-2484 | 2019-11-26 |
| 1619433315 | Jennifer Perez | Physician Assistant | 1700 Alma Dr Ste 450, Plano, TX 75075-6986 | 2019-02-18 |
| 1952721425 | Jennifer Perez | Occupational Therapist | 1010 N Hooker St., Suite 301 Icg Rehab Services, Chicago, IL 60642-4633 | 2014-04-23 |
| 1740559194 | Jennifer Lyn Perez | Licensed Practical Nurse | 1407 Kennedy Dr., Key West, FL 33040 | 2011-12-14 |
| 1235262023 | Jennifer L. Perez | Dentist | 12960 East Fwy, Houston, TX 77015-5710 | 2007-03-13 |
| 1376678912 | Jennifer J Perez | Occupational Therapist | 3225 S Noland Rd, Independence, MO 64055-1317 | 2007-02-23 |
| 1154309425 | Jennifer Mary Perez | Registered Nurse | 12250 W North Ave, Wauwatosa, WI 53226-2066 | 2006-01-05 |
| 1184238594 | Jennifer Perez | Counselor | 5550 Topanga Canyon Blvd Ste 150, Woodland Hills, CA 91367-7413 | 2020-09-02 |
| 1891313110 | Jennifer Perez | Behavior Technician | 1115 14th St, Modesto, CA 95354-1003 | 2020-07-13 |
| Street Address |
2772 MARTIN LUTHER KING BLVD. |
| City | FRESNO |
| State | CA |
| Zip Code | 93706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568590347 | West Care | Substance Abuse Rehabilitation Facility | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2007-03-01 |
| 1679004071 | Gale Asbury | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2017-03-27 |
| 1710270525 | Kathryn Tkac | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2011-05-26 |
| 1063741494 | Nona Hall | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-12-14 |
| 1073840633 | Jennifer Ann Hall | Counselor | 2772 Martin Luther King Blvd., 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-11-03 |
| 1326373887 | David Jermaine Perry II | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-10-16 |
| 1700011988 | Susan Carol Shaw | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-05-18 |
| 1366682023 | Pheng Thao | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-02-20 |
| 1699914457 | Carolyn Haudenschild | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-02-18 |
| 1194902577 | Raymond Nacho Gonzales | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706-2107 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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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.