MRS. DOUANGTAVANH PHOMMISAI TANDAS (NPI# 1124277751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124277751 |
| Entity Type | Individual |
| Full Name | MRS. DOUANGTAVANH PHOMMISAI TANDAS |
| Practice Address |
820 Lampasas Ave Apt 4 Sacramento CA 95815-2257 |
| Practice Telephone | 9165012693 |
| Mailing Telephone | 9165012693 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
820 LAMPASAS AVE APT 4 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| 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 |
|---|---|---|---|---|
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
| 1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
| 1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
| 1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| 1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on MRS. DOUANGTAVANH PHOMMISAI TANDAS.
| 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.