BRANDON BLOSSER (NPI# 1982836193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982836193 |
| Entity Type | Individual |
| Full Name | BRANDON BLOSSER |
| Practice Address |
1410 Chestnut St Susanville CA 96130-3719 |
| Practice Telephone | 5302518112 |
| Practice Fax Number | 5302515884 |
| Mailing Telephone | 5302518112 |
| Mailing Fax Number | 5302515884 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | M |
| 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 |
| Street Address |
1410 CHESTNUT ST |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124162797 | Lyle Mathues Dornon | Specialist | 1410 Chestnut St, Susanville, CA 96130-3719 | 2007-02-16 |
| 1902107063 | Bethany Duvarney | Counselor | 1410 Chestnut St, Susanville, CA 96130-3795 | 2010-11-05 |
| 1306162243 | Jerilyn Casper | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2010-04-16 |
| 1871725135 | Gary Huhtala | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2009-08-19 |
| 1154558906 | Joey Ware | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2009-06-19 |
| 1104050525 | Tanya Louise Etzel | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2009-05-13 |
| 1013141530 | Aradala Marie Nelson | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2009-05-12 |
| 1164673208 | David Kraft | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2008-10-07 |
| 1386893071 | Christian Younger | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2008-09-17 |
| 1912153081 | Thelma Tidwell | Counselor | 1410 Chestnut St, Susanville, CA 96130-3719 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558632331 | Lassen County Mental Health | Counselor | 557 Hospital Ln, Susanville, CA 96130-4808 | 2012-01-25 |
| 1235437237 | Michael C Vanderley | Counselor | 1400 Chestnut St Ste A, Susanville, CA 96130-3777 | 2011-03-01 |
| 1932406899 | Lassen County Child Support | Counselor | 1600 Chestnut St, Susanville, CA 96130-3720 | 2011-02-11 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1881720415 | Lassen County Alcohol and Other Drug | Counselor | 1400 Chestnut St, Susanville, CA 96130-3719 | 2007-02-26 |
| 1922134782 | Maryjo Streible | Counselor | 1445 Paul Bunyan, Susanville, CA 96130-3719 | 2007-02-26 |
| 1184750002 | Karen Embree-smith | Counselor | 1410 B Chestnut St., Susanville, CA 96130 | 2007-02-26 |
| 1962537563 | Mathilda Kathleen Baker | Counselor | 1400 Chestnut St Ste B, Susanville, CA 96130-3773 | 2007-02-22 |
| 1992247514 | Daisy Murdock | Counselor | 555 Hospital Ln, Susanville, CA 96130-4808 | 2016-11-14 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
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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.