STEPHANIE FUENTES (NPI# 1962801795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962801795 |
| Entity Type | Individual |
| Full Name | STEPHANIE FUENTES |
| Other Name | STEPHANIE MARES |
| Practice Address |
308 E San Jacinto Ave Perris CA 92570-2878 |
| Practice Telephone | 9519431130 |
| Mailing Telephone | 9519431130 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1688 N Perris Blvd Ste L1-2, Perris, CA 925714709 | 9519431130 | |
| 3075 Myers St, Riverside, CA 925035525 | 9513584901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427265875 | Stephanie J Fuentes | Counselor | 1870 N Corporate Lakes Blvd Unit 268672, Holding Hands Autism, LLC, Weston, FL 33326-9999 | 2007-05-16 |
| 1063053692 | Stephanie Fuentes | Specialist/Technologist | 767 N Hill St Ste 400, Los Angeles, CA 90012-2381 | 2019-10-04 |
| Street Address |
308 E SAN JACINTO AVE |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720148257 | County of Riverside | Community/Behavioral Health | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2006-12-12 |
| 1205328309 | Amy Patchen | Registered Nurse | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2018-06-04 |
| 1790291490 | Raquel Cervantes Bernal | Social Worker | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2017-12-18 |
| 1063956670 | Tai Maddox | Marriage & Family Therapist | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2016-12-15 |
| 1982059309 | Adriana Gonzalez | Marriage & Family Therapist | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2016-05-04 |
| 1467842377 | Dr Robert Bruce Reid Perris Family Care Center | Clinic/Center | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2015-01-30 |
| 1164842209 | Claudia Dickens | Behavioral Analyst | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2014-04-16 |
| 1659612430 | Christina Ruvalcaba | Nutritionist | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2013-03-04 |
| 1710231543 | Bridgette Canson | Social Worker | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2012-10-31 |
| 1427314368 | Barbara Jane Chan Ganchingco | Family Medicine | 308 E San Jacinto Ave, Perris, CA 92570-2878 | 2012-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958151 | Marisela Adams | Marriage & Family Therapist | 2531 Redlands Ave, Perris, CA 92571-4021 | 2015-07-24 |
| 1811256233 | Yoana Armendariz | Marriage & Family Therapist | 764 Ramona Expy Ste C, Perris, CA 92571-9716 | 2012-05-04 |
| 1477722726 | Carmelo Isales Jr. | Marriage & Family Therapist | 126 Avocado Ave Ste 103, Perris, CA 92571-2605 | 2008-02-20 |
| 1902008071 | Joseph J Kozinski | Marriage & Family Therapist | 21252 Onaknoll Dr, Perris, CA 92570-9565 | 2007-06-01 |
| 1023137106 | Robert Stanley Bermudez Jr. | Marriage & Family Therapist | 555 N. Perris Blvd., Perris, CA 92571 | 2007-03-28 |
| 1538202874 | Joselin G. Aldus | Marriage & Family Therapist | 1688 N Perris Blvd # L7-11, Perris, CA 92571-4709 | 2007-02-15 |
| 1730221458 | Yolanda Velazquez Fullinwider | Marriage & Family Therapist | 1688 N. Perris Blvd. Ste. L7-11, Perris, CA 92571 | 2007-02-12 |
| 1255495115 | Beverly Ann Mckeddie | Marriage & Family Therapist | 2560 N Perris Blvd Ste N, Perris, CA 92571-3251 | 2006-12-21 |
| 1447340526 | Danielle Marie Gross | Marriage & Family Therapist | 555 N Perris Blvd, Building A, Perris, CA 92571-2811 | 2006-10-13 |
| 1003434366 | Kimara Melissa Simms | Marriage & Family Therapist | 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 | 2020-07-13 |
| Find all providers in PERRIS | ||||
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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.