DESIREE CHRISTINE TERRY (NPI# 1033768478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033768478 |
| Entity Type | Individual |
| Full Name | DESIREE CHRISTINE TERRY |
| Credential | ACSW |
| Practice Address |
6736 Laurel Canyon Blvd Ste 200 North Hollywood CA 91606-1576 |
| Practice Telephone | 8187558786 |
| Mailing Telephone | 8187558786 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
95774 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10605 Balboa Blvd Ste 100, Granada Hills, CA 913446367 | 8188322400 |
| Street Address |
6736 LAUREL CANYON BLVD STE 200 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649305970 | Shiva Khatami | Social Worker | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1538 | 2007-02-23 |
| 1093312803 | Danitza Reveles | Marriage & Family Therapist | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2020-10-05 |
| 1962018598 | Megan Sahnazoglu | Student in an Organized Health Care Education/Training Program | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2020-09-18 |
| 1992311500 | Catherine Hewatt | Student in an Organized Health Care Education/Training Program | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2020-09-18 |
| 1649821810 | Julie Khil | Student in an Organized Health Care Education/Training Program | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2019-09-27 |
| 1932760865 | Mayra Janeth Recinos | Counselor | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2019-06-21 |
| 1326607482 | Andrea Virginia Gonzalez | Marriage & Family Therapist | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2019-06-11 |
| 1295394591 | Keeley Dunn | Marriage & Family Therapist | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2019-06-10 |
| 1770045684 | Cinthia Elizabeth Gutierrez | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2019-04-01 |
| 1699233650 | Deepa Karmakar | Case Manager/Care Coordinator | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | 2019-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1831631266 | Aliza Dubin | Counselor | 11314 Delano St, North Hollywood, CA 91606-4222 | 2016-11-16 |
| 1467815647 | Alejandra Nunez Pulido | Counselor | 7114 Ethel Ave Apt 3, North Hollywood, CA 91605-4736 | 2016-04-04 |
| 1558542043 | Jonathan Wesley | Counselor | 11536 Otsego St, North Hollywood, CA 91601-3625 | 2007-11-26 |
| 1467647503 | Fabiola Diaz | Counselor | 6848 Bellingham Ave, North Hollywood, CA 91605-5601 | 2007-09-12 |
| 1356569545 | Lemor Tepper | Counselor | 5200 Lankershim Blvd, North Hollywood, CA 91601-3155 | 2007-04-23 |
| 1790834877 | Chester Litvin | Counselor | 6229 Morse Ave, North Hollywood, CA 91606 | 2007-01-09 |
| 1386663771 | Sylvia K. Landon | Counselor | 6502 Wilkinson Ave, North Hollywood, CA 91606-2320 | 2006-07-18 |
| 1699307371 | Cami Elen | Counselor | 5445 Laurel Canyon Blvd, North Hollywood, CA 91607-4661 | 2020-02-10 |
| 1770115461 | Liam Mcconville | Counselor | 5445 Laurel Canyon Blvd, North Hollywood, CA 91607-4661 | 2020-02-10 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
Please comment or provide details below to improve the information on DESIREE CHRISTINE TERRY.
| 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.