ASHLEY LYNN THEISEN (NPI# 1124326541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124326541 |
| Entity Type | Individual |
| Full Name | ASHLEY LYNN THEISEN |
| Practice Address |
931 San Bruno Ave W San Bruno CA 94066-3440 |
| Mailing Address |
140a Amapola Ave Pacifica CA 94044-3101 |
| Practice Telephone | 4156813205 |
| Mailing Telephone | 6509954783 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |
| 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 |
931 SAN BRUNO AVE W |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053427138 | Mervyn K Otsuka | Dentist | 931 San Bruno Ave W, Suite 5, San Bruno, CA 94066-3440 | 2006-08-22 |
| 1518310523 | Edgewood Center for Children and Families | Community/Behavioral Health | 931 San Bruno Ave W, San Bruno, CA 94066 | 2016-07-14 |
| 1457745333 | Darryl Mendioro | Counselor | 931 San Bruno Ave W, San Bruno, CA 94066-3440 | 2015-03-27 |
| 1033517081 | Alilia L Vuna | Counselor | 931 San Bruno Ave W, Ste. #1, San Bruno, CA 94066-3440 | 2014-12-08 |
| 1497957971 | Steven Richard Pulido | Dentist | 931 San Bruno Ave W, Suite 5, San Bruno, CA 94066-4327 | 2007-06-05 |
| 1023223195 | Les Chui | Chiropractor | 931 San Bruno Ave W, #1, San Bruno, CA 94066-3440 | 2007-05-11 |
| 1740328152 | Nancy Madera | Dentist | 931 San Bruno Ave W, Suite 6, San Bruno, CA 94066-3440 | 2007-02-01 |
| 1952417719 | Frank L Ng | Dentist | 931 San Bruno Ave W, Suite 8, San Bruno, CA 94066-3440 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| 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 |
|---|---|---|---|---|
| 1710471214 | Jason Chug | Counselor | 931 San Bruno Ave W Rm 2, San Bruno, CA 94066-3435 | 2018-06-18 |
| 1356661409 | Reshmina Prasad | Counselor | 931 San Bruno Ave W Rm 1, San Bruno, CA 94066-3435 | 2010-06-10 |
| 1447406244 | Yin-ting Santina Hou | Counselor | 3881 Colby Way, San Bruno, CA 94066-1005 | 2008-08-12 |
| 1508498973 | Rosie Leticia Gomez | Counselor | 508 7th Ave, San Bruno, CA 94066-4522 | 2020-02-04 |
| 1992289912 | Kristina Marie Becker | Counselor | 931 San Bruno Ave W Rm 2, San Bruno, CA 94066-3435 | 2018-09-17 |
| 1588159206 | Marissa Danielle Martinez | Counselor | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2018-06-25 |
| 1457745333 | Darryl Mendioro | Counselor | 931 San Bruno Ave W, San Bruno, CA 94066-3440 | 2015-03-27 |
| 1033517081 | Alilia L Vuna | Counselor | 931 San Bruno Ave W, Ste. #1, San Bruno, CA 94066-3440 | 2014-12-08 |
| 1104170026 | Dina R Jenkins | Counselor | 1001 Sneath Ln, San Bruno, CA 94066-2308 | 2012-10-30 |
| 1164541249 | Stephanie Alece Padrez | Counselor | 1290 Commodore Dr, San Bruno, CA 94066-2304 | 2007-03-28 |
| Find all providers in SAN BRUNO | ||||
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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.