MRS. EMMILY JO WELDON (NPI# 1083006332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083006332 |
| Entity Type | Individual |
| Full Name | MRS. EMMILY JO WELDON |
| Credential | PCCI |
| Practice Address |
10717 Camino Ruiz #207 San Diego CA 92126-7102 |
| Mailing Address |
10237 Keppler Pl San Diego CA 92124-2507 |
| Practice Telephone | 8586952211 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PCCI 2635 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10717 CAMINO RUIZ #207 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019227 | Harmonium | Psychologist | 10717 Camino Ruiz, Suite 104, San Diego, CA 92126-2360 | 2005-11-08 |
| 1255860524 | Tamara Rice | Counselor | 10717 Camino Ruiz, San Diego, CA 92126-2360 | 2017-06-08 |
| 1972999662 | Andrea Bolinger | Counselor | 10717 Camino Ruiz, Ste 207, San Diego, CA 92126-2360 | 2015-04-09 |
| 1407258064 | Elizabeth Ann Ortiz | Counselor | 10717 Camino Ruiz, Suite 207, San Diego, CA 92126-2360 | 2014-09-25 |
| 1790193290 | Adlyn Marie Perez-figueroa | Student in an Organized Health Care Education/Training Program | 10717 Camino Ruiz, Ste. #207, San Diego, CA 92126-2360 | 2014-07-28 |
| 1124434154 | April Christean Villavicencio | Counselor | 10717 Camino Ruiz, San Diego, CA 92126-2360 | 2014-07-10 |
| 1013337138 | Michelle Majo Dds, Inc | Dentist | 10717 Camino Ruiz, Suite 150, San Diego, CA 92126 | 2014-04-16 |
| 1134561160 | Pamela Renee Prohoroff | Case Manager/Care Coordinator | 10717 Camino Ruiz, Suite 207, San Diego, CA 92126-2360 | 2013-07-18 |
| 1346583069 | Z.e.s Cuisia Dds Inc. A Professional Corporation | Dentist | 10717 Camino Ruiz, 103, San Diego, CA 92126-2360 | 2013-04-01 |
| 1922348572 | Brent V Jensen | Case Manager/Care Coordinator | 10717 Camino Ruiz, Suite 207, San Diego, CA 92126-2360 | 2013-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
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| 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 |
|---|---|---|---|---|
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1851903751 | Shawn M Sta Ines | Counselor | 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 | 2020-08-20 |
| 1821607599 | Tara Oneil | Counselor | 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 | 2020-07-28 |
| 1881212520 | Ureclaim Therapy | Counselor | 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 | 2020-07-09 |
| 1326664731 | Andressa Gomes Giacomini | Counselor | 6219 Stanley Ave Apt 7, San Diego, CA 92115-4048 | 2020-06-22 |
| 1407480726 | Autumn Weidman | Counselor | 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 | 2020-02-25 |
| 1881233708 | Ramin Movafaghi | Counselor | 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 | 2019-12-23 |
| 1326696477 | Jennifer Erin Reimer | Counselor | 7568 Charmant Dr Apt 1917, San Diego, CA 92122-5018 | 2019-09-02 |
| 1316595739 | Ashley Champa | Counselor | 7954 Dagget St, San Diego, CA 92111-2306 | 2019-08-28 |
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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.