JEFFREY LEE MANCARUSO (NPI# 1033414586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033414586 |
| Entity Type | Individual |
| Full Name | JEFFREY LEE MANCARUSO |
| Practice Address |
508-510 S Second Ave Covina CA 91723 |
| Practice Telephone | 6269748122 |
| Practice Fax Number | 6269748198 |
| Mailing Telephone | 6269748122 |
| Mailing Fax Number | 6269748198 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 686969 | CA | Behavioral Health & Social Service Providers |
| Street Address |
508-510 S SECOND AVE, |
| City | COVINA |
| State | CA |
| Zip Code | 91723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| 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 |
|---|---|---|---|---|
| 1326673914 | Blu Alliance Counseling Center | Marriage & Family Therapist | 1109 W San Bernardino Rd Ste 150, Covina, CA 91722-4156 | 2020-03-04 |
| 1740759224 | Diana Tuthill Hoover | Marriage & Family Therapist | 17829 E Benwood St, Covina, CA 91722-2613 | 2018-11-14 |
| 1467936674 | Together Family Counseling | Marriage & Family Therapist | 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 | 2018-09-24 |
| 1083087191 | Marie Antonette Petitti | Marriage & Family Therapist | 100 S Citrus Ave Ste 206, Covina, CA 91723-2686 | 2015-11-11 |
| 1962880005 | Karen Allan | Marriage & Family Therapist | 416 E Badillo St, Covina, CA 91723-2213 | 2015-05-08 |
| 1760739056 | Raylene Elaine Angulo | Marriage & Family Therapist | 271 E. Workman St, Suite 101, Covina, CA 91723 | 2012-08-06 |
| 1255564613 | Chong Yu | Marriage & Family Therapist | 1274 East Center Court Drive, #112, Covina, CA 91724-3668 | 2009-09-01 |
| 1427269315 | B&a Professional Servicces | Marriage & Family Therapist | 150 N. Grand Ave. Suite 212, Covina, CA 91790 | 2007-05-24 |
| 1861601148 | Bradford Lee Durian | Marriage & Family Therapist | 1406 N Grand Ave Apt L, Covina, CA 91724-1060 | 2007-05-22 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| Find all providers in COVINA | ||||
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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.