MS. JENNIFER PHILLIPS (NPI# 1114120995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114120995 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER PHILLIPS |
| Practice Address |
720 Wood St Eureka CA 95501-4413 |
| Mailing Address |
1716 Lime Ave Mckinleyville CA 95519-4207 |
| Practice Telephone | 7072682990 |
| Mailing Telephone | 7143093797 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT36043 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887074 | Jennifer Russell Phillips | Music Therapist | 50 N Plymouth Ave, Rochester, NY 14614-1221 | 2020-10-09 |
| 1043834195 | Jennifer Phillips | Occupational Therapist | 1 Keefe Ave, Newton, MA 02464-1316 | 2020-06-04 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1366911794 | Jennifer Patricia Phillips | Occupational Therapist | 2558 Wilson Ave, Bronx, NY 10469-5609 | 2018-11-14 |
| 1144724501 | Jennifer Marie Phillips | Nurse Practitioner | 715 Rainbow Forest Dr, Lynchburg, VA 24502-3035 | 2018-03-21 |
| 1063895795 | Jennifer Phillips | Speech-Language Pathologist | 7017 Citrus Point Ct, Winter Park, FL 32792-7500 | 2015-06-30 |
| 1316344757 | Jennifer Phillips | Social Worker | 1085 Poplar Ave, Memphis, TN 38105-4724 | 2014-12-01 |
| 1053740944 | Jennifer Phillips | Marriage & Family Therapist | 812 Gradyhill Pl, Midlothian, VA 23114-3362 | 2013-11-01 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1568808939 | Jennifer Ruth Phillips | Social Worker | Department of Veteran Affairs Southern Az Va, 3601 South 6th Avenue, Tucson, AZ 85723-0001 | 2013-05-13 |
| Street Address |
720 WOOD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646521 | Janese Charpentier | Nurse Practitioner | 720 Wood St, Eureka, CA 95501-4413 | 2006-04-05 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1164029534 | Laura Tansley Conger | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1679170120 | Robert William Williams | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1144827049 | James Rager Anderson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-04 |
| 1710593173 | Jody Swan | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-21 |
| 1669088340 | Eric Hall | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-18 |
| 1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
| 1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
| 1730799180 | Robert Christopher Amerman | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918765 | Kaylyn Paige Seamands | Marriage & Family Therapist | 350 E St Ste 405, Eureka, CA 95501-0352 | 2018-10-23 |
| 1548741689 | Dylan Cimbura-hernandez | Marriage & Family Therapist | 18 Minette Ln, Eureka, CA 95503-8534 | 2018-08-27 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1275982829 | Monica Hubbard | Marriage & Family Therapist | 3172 Walford Ave Ste 6, Eureka, CA 95503-4897 | 2016-06-05 |
| 1124360284 | Eric Forest Wilcox | Marriage & Family Therapist | 134 D St Fl 3, Eureka, CA 95501-0455 | 2013-03-26 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1346534393 | Jacob Sparks | Marriage & Family Therapist | 77 Trails End Rd, Eureka, MT 59917 | 2011-06-07 |
| 1962792242 | Tamara Leigh Severn | Marriage & Family Therapist | 3015 Hubbard Ln Ste 3, Eureka, CA 95501 | 2011-04-07 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1659552917 | Kim Ann Moor | Marriage & Family Therapist | 3009 Hubbard Ln Ste C, Eureka, CA 95501 | 2007-11-15 |
| Find all providers in EUREKA | ||||
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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.