JENNIFER STARK (NPI# 1962042135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962042135 |
| Entity Type | Individual |
| Full Name | JENNIFER STARK |
| Practice Address |
333 S Beaudry Ave Los Angeles CA 90017-1466 |
| Practice Telephone | 2132413841 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619006541 | Jennifer L. Stark | Marriage & Family Therapist | 1435 W I St, Los Banos, CA 93635-4546 | 2007-03-05 |
| 1518010396 | Jennifer E Stark | Pharmacist | 5826 Dancing Rabbit Dr, Springdale, AR 72762-6277 | 2007-01-18 |
| 1437701471 | Jennifer Marie Stark | Nurse Practitioner | 2929 Woodland Park Dr, Houston, TX 77082-2687 | 2019-07-10 |
| 1316448228 | Jennifer Lynn Stark | Speech-Language Pathologist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-26 |
| 1417371576 | Jennifer Stark | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2014-02-10 |
| 1063763548 | Jennifer Stark | Plastic Surgery | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2012-09-25 |
| 1275720260 | Jennifer Dawn Stark | Social Worker | 15 Grant St, Petersburg, WV 26847-1687 | 2007-10-03 |
| Street Address |
333 S BEAUDRY AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142262 | Treesa Lowther | Nurse Practitioner | 333 S Beaudry Ave, 29th Floor-cost Recovery, Los Angeles, CA 90017 | 2005-08-26 |
| 1255932398 | Catalina Ruvalcaba | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-11-04 |
| 1003417478 | Shannon Giovanna Doss | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-11-03 |
| 1659987865 | Abby Long | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-22 |
| 1528673571 | Amanda Corrigan | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-15 |
| 1104430008 | Claudia Banuelos | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-08 |
| 1265046668 | Auri Rocha | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-09-02 |
| 1548873508 | Valentina Narino | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-28 |
| 1013520097 | Jared Hooper | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-28 |
| 1528671427 | Corrinne Ols | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on JENNIFER STARK.
| 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.