JENA UPHOLD (NPI# 1962995332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962995332 |
| Entity Type | Individual |
| Full Name | JENA UPHOLD |
| Practice Address |
1738 S Tremont St Oceanside CA 92054-5309 |
| Practice Telephone | 7604392800 |
| Practice Fax Number | 7604335031 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1738 S TREMONT ST |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326067943 | Jeffrey S Nelson | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2006-07-18 |
| 1053919480 | Sean Berkshire | Marriage & Family Therapist | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-10-16 |
| 1356949572 | Julia Herrera | Licensed Vocational Nurse | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-10-09 |
| 1942815501 | Sydney Drew Clonts | Licensed Vocational Nurse | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-09-10 |
| 1427661636 | Molly Dietrich | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-08-27 |
| 1194337923 | Josie Tortez | Licensed Vocational Nurse | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-08-21 |
| 1700401916 | Laurie Michelle Andrews | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-06-12 |
| 1528683315 | Gonzalo F Gallegos | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-06-08 |
| 1093341257 | Daniel Ernesto Reza | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-03-19 |
| 1043846876 | Manuel Manriquez Sandoval Jr | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659817765 | Suong Le | Counselor | 2900 Farel St Apt 162, Oceanside, CA 92054-6291 | 2017-01-12 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| 1841462165 | Donald Paul Gieschen | Counselor | 381 Point Windemere Pl, Oceanside, CA 92057-3419 | 2008-03-26 |
| 1174720379 | Donald Otis Robertson | Counselor | 1744 S Pacific St Apt 101, Oceanside, CA 92054-5841 | 2007-06-29 |
| 1427252832 | William L Finn | Counselor | 325 San Dimas Ave, Oceanside, CA 92057-7202 | 2007-06-12 |
| 1518511401 | Luisa Fernanda Pearson | Counselor | 3355 Mission Ave Ste 239, Oceanside, CA 92058-1322 | 2019-07-29 |
| 1699327213 | Nicole Synesiou | Counselor | 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 | 2019-07-13 |
| 1265099295 | Michael L Bonilla | Counselor | 3998 Vista Way, E, Oceanside, CA 92056 | 2019-05-24 |
| 1780141226 | Sarah Magner | Counselor | 3355 Mission Ave Ste 239, Oceanside, CA 92058-1322 | 2019-02-20 |
| 1083198238 | Christopher Roy Smith Carman | Counselor | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-09-23 |
| Find all providers in OCEANSIDE | ||||
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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.