MARK BOCOCK (NPI# 1053881383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053881383 |
| Entity Type | Individual |
| Full Name | MARK BOCOCK |
| Practice Address |
115 E Fesler St Santa Maria CA 93454-4404 |
| Practice Telephone | 8059226597 |
| Mailing Telephone | 8059226597 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
115 E FESLER ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003972654 | Aegis Treatment Centers, LLC | Clinic/Center | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2006-12-28 |
| 1528601002 | Mia Alexander | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-10-28 |
| 1053962480 | Tabitha Wambaa | Licensed Psychiatric Technician | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-09-26 |
| 1053962969 | James Owen Fitzmaurice | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-09-23 |
| 1437705696 | Linda Platt Mintz | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-08-14 |
| 1447816434 | Dwayne Franklin Newman | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-05-15 |
| 1457823643 | Evan Joseph Dougherty | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-12-28 |
| 1629547799 | Benjamin Aguayo | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-11-19 |
| 1255806709 | Veronica Dominguez | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-10-11 |
| 1487140943 | Stacey Lou Valdez | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| 1992257570 | Brianna Arreola | Counselor | 205 E. Newlove Dr., Apt. E, Santa Maria, CA 93454 | 2016-10-28 |
| 1922468768 | Elements Counseling Group | Counselor | 301 S Miller St Ste 108, Santa Maria, CA 93454-5243 | 2016-03-04 |
| 1609278571 | Elizabeth Cansino | Counselor | 332 Valerie St, Santa Maria, CA 93454-4824 | 2014-09-22 |
| 1386071827 | Jonathan Bentley Gee | Counselor | 1145 E Clark Ave Ste K, Santa Maria, CA 93455-5173 | 2013-09-30 |
| 1316215528 | Andrew J Clark | Counselor | 1219 Oak Knoll Rd, Santa Maria, CA 93455-4303 | 2011-12-02 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1962607853 | Vincent S. Giordano | Counselor | 1604 Cat Lane, Santa Maria, CA 93454 | 2007-06-19 |
| 1427265107 | Ivonne Margarita Slim-sylling | Counselor | 1410 S Broadway, Suite B, Santa Maria, CA 93454-6971 | 2007-05-16 |
| 1538291836 | David Nicola | Counselor | 117 Tunnel Rd W, Santa Maria, CA 93454 | 2007-03-12 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.