CARRIE DENISE MATTMILLER (NPI# 1063068955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063068955 |
| Entity Type | Individual |
| Full Name | CARRIE DENISE MATTMILLER |
| Credential | LVN |
| Practice Address |
1343 W Main St Ste A&b Merced CA 95340-4438 |
| Mailing Address |
1343 W Main St Ste A Merced CA 95340-4438 |
| Practice Telephone | 2097251060 |
| Practice Fax Number | 2097251064 |
| Mailing Telephone | 2097251060 |
| Mailing Fax Number | 2097251064 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
VN189332 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1343 W MAIN ST STE A&B |
| City | MERCED |
| State | CA |
| Zip Code | 95340-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104982495 | Aegis Treatment Centers, LLC | Clinic/Center | 1343 W Main St Ste A&b, 1349 W. Main Street, Merced, CA 95340-4438 | 2006-12-29 |
| 1124628516 | Windy Xiong | Counselor | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2020-10-27 |
| 1790391316 | Alyssa Marie Perez | Counselor | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2020-09-18 |
| 1609422302 | Chantel Rodriguez Hernandez | Counselor | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2019-08-18 |
| 1629584073 | Vicente Jesus Alfaro | Counselor | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2017-12-21 |
| 1821507047 | Kor Thor | Case Manager/Care Coordinator | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2017-09-20 |
| 1003299348 | Merlyn Perez | Counselor | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2015-07-06 |
| 1619278272 | Debra Counts | Counselor | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2010-11-12 |
| 1093965790 | Anne Marie Lawler | Counselor | 1343 W Main St Ste A&b, Merced, CA 95340-4438 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417503145 | Erica Lynn Lewis | Counselor | 1343 W Main St Suite A&b, Merced, CA 95340-4438 | 2019-08-19 |
| 1952873374 | Jason Wayne Young | Counselor | 3522 Santiago Ct, Merced, CA 95348-9534 | 2018-12-24 |
| 1265904742 | Sean Daniel Conver Sr. | Counselor | 3000 Park Ave Apt 35, Merced, CA 95348-3430 | 2018-12-21 |
| 1912368580 | Bicente Bermejo | Counselor | 2222 M St, Merced, CA 95340-3729 | 2016-03-10 |
| 1063885838 | Kang Xiong | Counselor | 1343 W Main St Ste A, Merced, CA 95340-4438 | 2015-11-02 |
| 1528460599 | Jared Jensen | Counselor | 36 W Swallow St, Merced, CA 95341-6950 | 2014-09-22 |
| 1114330396 | Lisa Ann Hansen | Counselor | 1343 W Main St Ste 1, Merced, CA 95340-4438 | 2014-06-05 |
| 1770913485 | Darren Paul Leonardo I | Counselor | 3313 G St, Suite B, Merced, CA 95340-0991 | 2013-11-15 |
| 1093068272 | Tammy Kay Hickman | Counselor | 301 E. 13th, Merced, CA 95341-6217 | 2012-10-24 |
| 1982802591 | Therese Daniels | Counselor | 2966 Oleander Ave, 1343 W Main St., Merced, CA 95340-2437 | 2007-07-05 |
| Find all providers in MERCED | ||||
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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.