GRETCHEN BROOKSHIRE (NPI# 1871733139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871733139 |
| Entity Type | Individual |
| Full Name | GRETCHEN BROOKSHIRE |
| Credential | LPT |
| Practice Address |
212 Carmen Ln Ste 201 Santa Maria CA 93458-7771 |
| Mailing Address |
1750 Prefumo Canyon Rd Apt 51 San Luis Obispo CA 93405-6131 |
| Practice Telephone | 8057398706 |
| Practice Fax Number | 8057398738 |
| Mailing Telephone | 8057398706 |
| Mailing Fax Number | 8057398738 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TELECARE CARES CRISIS RESIDENTIAL NORTH | 1689762486 | 01 |
| CA | CARES CRISIS RESIDENTIAL NORTH | 94-1735271 | 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 |
| 1801448659 | Lacey Marie Hemeon | Licensed Psychiatric Technician | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2019-07-11 |
| 1194377077 | Shannon Lee Power | Counselor | 212 Carmen Ln Ste 201, Santa Maria, CA 93458-7771 | 2019-07-11 |
| Find all providers in the same location | ||||
| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1205144631 | Sally Smith | Case Manager/Care Coordinator | 201 Carmen Ln, Santa Maria, CA 93458-7722 | 2010-09-20 |
| 1154557965 | Mark Tompkins | Case Manager/Care Coordinator | 117 W. Tunnel St., Santa Maria, CA 93454 | 2009-06-08 |
| 1760627384 | Julie Caraza | Case Manager/Care Coordinator | 1508 S Barbara St, Santa Maria, CA 93458-7110 | 2008-12-10 |
| 1912154675 | Cynthia Camacho | Case Manager/Care Coordinator | 819 W Church St, Santa Maria, CA 93458-4265 | 2008-08-25 |
| 1285802132 | Jean Hobbs | Case Manager/Care Coordinator | 2445 A St, Santa Maria, CA 93455-1401 | 2008-02-13 |
| 1386837201 | Sharon Van Dyke | Case Manager/Care Coordinator | 715 Doeskin Trl, Santa Maria, CA 93455-6020 | 2007-08-23 |
| 1063605988 | John Park | Case Manager/Care Coordinator | 600 Union Ave Apt B, Santa Maria, CA 93455-5327 | 2007-08-23 |
| 1770621005 | Cindy V Lopez | Case Manager/Care Coordinator | 319 Gilea Ct, Santa Maria, CA 93455-1382 | 2007-02-01 |
| 1043822695 | Yaneli Madai Bailon | Case Manager/Care Coordinator | 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 | 2020-08-17 |
| 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.