MRS. THEPPHARACK AD SOUNTHALA (NPI# 1083745780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083745780 |
| Entity Type | Individual |
| Full Name | MRS. THEPPHARACK AD SOUNTHALA |
| Credential | MSW |
| Practice Address |
251 E Hackett Rd Modesto CA 95358-9415 |
| Practice Telephone | 2095582699 |
| Practice Fax Number | 2095581075 |
| Mailing Telephone | 2095582699 |
| Mailing Fax Number | 2095581075 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCS 26225 | CA | Behavioral Health & Social Service Providers |
| Street Address |
251 E HACKETT RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174006076 | Rita Yacoub | Marriage & Family Therapist | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2018-09-07 |
| 1346758299 | Katie Lynn Insco | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2018-01-12 |
| 1417470154 | Phillip Ballasch | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2017-07-25 |
| 1184098071 | Marisa Caratachea | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2015-11-16 |
| 1326391178 | Dora Ceja | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2012-10-17 |
| 1083976849 | Monica Hibler | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2012-06-07 |
| 1316221641 | Beverly Maribel Perez | Marriage & Family Therapist | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2011-10-05 |
| 1417283128 | Carmen Sandra Belmares | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2009-10-30 |
| 1457687428 | Barbara Ann Pearce Chiesa | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2009-10-27 |
| 1710211321 | Xochitl Magallan | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2009-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378408 | Amelia Ann Garcia | Counselor | 1004 Whitemarsh Way, Modesto, CA 95356-1237 | 2020-08-28 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1720463029 | Valerie Kristine Seagle | Counselor | 615 13th St Ste B1, Modesto, CA 95354-2456 | 2015-07-28 |
| 1952702706 | Michelle Ann Culver | Counselor | 4640 Spyres Way Ste 7, Modesto, CA 95356-9800 | 2014-09-11 |
| 1942601398 | Brianna Bossard | Counselor | 1231 8th St Ste 775, Modesto, CA 95354-2232 | 2014-09-04 |
| 1043619380 | Fanny Cortez | Counselor | 121 Downey Ave Apt 120, Modesto, CA 95354-1208 | 2014-08-21 |
| 1548669500 | Shannon Breckenridge | Counselor | 1800 Tully Rd # Stua-2, Modesto, CA 95350-2946 | 2014-08-15 |
| 1639503352 | Nicole Valadao | Counselor | 2625 F Coffee Rd # 132, Modesto, CA 95355-2053 | 2013-08-29 |
| 1942633979 | Monika Nicole Teves | Counselor | 504 King Richard Ln, Modesto, CA 95350-1532 | 2013-08-13 |
| 1700156007 | Erin L Black | Counselor | 426 14th St Ste 119, Modesto, CA 95354-2661 | 2012-01-04 |
| Find all providers in MODESTO | ||||
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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.