MISS DEANEA MARIE JESSUP (NPI# 1992079206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992079206 |
| Entity Type | Individual |
| Full Name | MISS DEANEA MARIE JESSUP |
| Practice Address |
9981 Spring Valley Rd Potter Valley CA 95469-9713 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7074672010 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
9981 SPRING VALLEY RD |
| City | POTTER VALLEY |
| State | CA |
| Zip Code | 95469-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790811073 | Brandan Chace Moroni | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2007-02-23 |
| 1457958951 | Patrick Garrett | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-07 |
| 1588261101 | Hailey Huey | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1477150092 | Nathan Reitan | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1003423427 | Rebeca Diaz | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-09-29 |
| 1043845167 | William Backus | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-03-09 |
| 1457991929 | Damian Pickron | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-01-13 |
| 1790320786 | Howard Eady | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-11-13 |
| 1538703640 | Lisa Lopez | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-10-31 |
| 1548818818 | Geoffrey Aringdale | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288448 | Richard Gardiner | Psychiatry & Neurology | 11781 East Rd, Potter Valley, CA 95469 | 2005-07-07 |
| 1629038971 | James Pretorius | Family Medicine | 8201 West Rd, Potter Valley, CA 95469-8700 | 2006-03-23 |
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1447706965 | Steven Stewart | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2016-08-26 |
| 1427423573 | Barbara Killingham | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2015-12-01 |
| 1316595317 | William Crossman IIi | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2019-09-03 |
| 1982267423 | Austin Schmadeke | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-04-19 |
| 1548726128 | Krista Switzer | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-02-19 |
| 1124510342 | Kathleen Phillips | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2018-06-04 |
| 1518418482 | Redwood Community Services, Inc | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-10-17 |
| Find all providers in zip 95469 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568529808 | Jennie Vinyard Guzman | Counselor | 11350 Burris Ln, Potter Valley, CA 95469-9784 | 2007-01-03 |
| 1518418482 | Redwood Community Services, Inc | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
| City | POTTER VALLEY |
| Zip Code | 95469 |
Please comment or provide details below to improve the information on MISS DEANEA MARIE JESSUP.
| 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.