MS. ALICIA ROSE AUDINO (NPI# 1063995587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063995587 |
| Entity Type | Individual |
| Full Name | MS. ALICIA ROSE AUDINO |
| Credential | MS, AMFT |
| Practice Address |
1624 Santa Clara Dr Ste 145 Roseville CA 95661-3500 |
| Practice Telephone | 9167792455 |
| Mailing Telephone | 9167792455 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AMFT108310 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1624 SANTA CLARA DR STE 145 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164557518 | Samantha Ruby Alma Mcgill | Marriage & Family Therapist | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2007-02-23 |
| 1922618966 | Susan Caraminda Quinto | Student in an Organized Health Care Education/Training Program | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2020-08-04 |
| 1518515055 | Kristin Ann Slye | Counselor | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661 | 2019-08-28 |
| 1558840215 | Sarah Rhiannon Fitch | Counselor | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661 | 2018-08-13 |
| 1013418144 | Emily Chesley | Specialist | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2018-02-23 |
| 1972010973 | Cortney Angelle Collins | Case Manager/Care Coordinator | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2017-12-29 |
| 1861907750 | Casey N Brandel | Counselor | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2017-12-13 |
| 1609392927 | Kaylee Nicole Jensen | Student in an Organized Health Care Education/Training Program | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2017-08-17 |
| 1609311018 | Rachel Marie Needham | Social Worker | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2016-12-21 |
| 1922412071 | Laurie Ann Moses | Counselor | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999629 | Cedar Rose Lundgren | Counselor | 1611 County Road B W Ste 204, Roseville, MN 55113-4053 | 2020-07-16 |
| 1720645443 | Michele Marie Villarreal | Counselor | 720 Sunrise Ave Ste 200c, Roseville, CA 95661-4508 | 2019-05-29 |
| 1346803038 | Anna D Scanlan | Counselor | 1711 County Road B W Ste 108s, Roseville, MN 55113-4036 | 2019-04-17 |
| 1356804702 | Ronald Ramsey | Counselor | 30581 Hidden Pines Ln # 30581, Roseville, MI 48066-7301 | 2019-04-12 |
| 1295295509 | Stephen Douglas Smith | Counselor | 2591 Parkcrest Way, Roseville, CA 95747-7140 | 2019-03-22 |
| 1104384825 | Gene H Burns | Counselor | 300 Harding Blvd Ste 116c, Roseville, CA 95678-2472 | 2019-03-12 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1043775109 | Ryan Jibson | Counselor | 420 Folsom Rd Ste D, Roseville, CA 95678-2767 | 2019-02-04 |
| 1649745837 | Courtney Jean Smith | Counselor | 257 Cedar St, Roseville, CA 95678-2539 | 2018-10-04 |
| 1033655568 | Naquiela Buckner I | Counselor | 1780 Vernon St, Roseville, CA 95678-6311 | 2017-01-08 |
| Find all providers in ROSEVILLE | ||||
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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.