MS. BERTHA JEANEAN TILLISON-MEJIA (NPI# 1144469628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144469628 |
| Entity Type | Individual |
| Full Name | MS. BERTHA JEANEAN TILLISON-MEJIA |
| Practice Address |
3356 Adeline St Berkeley CA 94703-2737 |
| Practice Telephone | 5109852694 |
| Mailing Telephone | 5109852694 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3356 ADELINE ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851461875 | Peter George Manoleas | Counselor | 3356 Adeline St, Berkeley, CA 94703-2737 | 2006-11-08 |
| 1700224672 | Linda Lukela Walubengo | Counselor | 3356 Adeline St, Berkeley, CA 94703-2737 | 2013-06-12 |
| 1770837999 | April Perkins | Community Health Worker | 3356 Adeline St, Berkeley, CA 94703-2737 | 2012-11-09 |
| 1326392655 | Norma Springsteen | Community Health Worker | 3356 Adeline St, Berkeley, CA 94703-2737 | 2012-11-08 |
| 1982977344 | Leslie Brown | Counselor | 3356 Adeline St, Berkeley, CA 94703-2737 | 2012-02-15 |
| 1306143862 | Yvette Phillips Aldama | Case Manager/Care Coordinator | 3356 Adeline St, Berkeley, CA 94703-2737 | 2011-02-18 |
| 1770880270 | Timothy Loyd Foster | Case Manager/Care Coordinator | 3356 Adeline St, Berkeley, CA 94703-2737 | 2011-02-17 |
| 1396074688 | Barbara Elaine Berry | Case Manager/Care Coordinator | 3356 Adeline St, Berkeley, CA 94703-2737 | 2009-12-15 |
| 1447589890 | Regina Lee Dickens | Case Manager/Care Coordinator | 3356 Adeline St, Berkeley, CA 94703-2737 | 2009-12-14 |
| 1275772113 | Leona Beasley | Specialist | 3356 Adeline St, Berkeley, CA 94703-2737 | 2009-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104386689 | Melvin Cowan II | Case Manager/Care Coordinator | 1918 University Ave Ste 2a, Berkeley, CA 94704-3263 | 2019-03-21 |
| 1831331206 | Martha Angelica Rodriguez | Case Manager/Care Coordinator | 2134 Mcgee Ave, Apt A, Berkeley, CA 94703-1449 | 2009-04-01 |
| 1174702401 | Antonia L Avila | Case Manager/Care Coordinator | 1900 6th St, Berkeley, CA 94710-2005 | 2007-11-02 |
| 1598253130 | Guy Black Sr. | Case Manager/Care Coordinator | 3200 Adeline St, Berkeley, CA 94703-2407 | 2018-04-30 |
| 1679077853 | Veena Kumari Channon | Case Manager/Care Coordinator | 3282 Adeline St, Berkeley, CA 94703-2439 | 2018-03-21 |
| 1467803692 | Dominic Blakeney | Case Manager/Care Coordinator | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2016-06-29 |
| 1902209752 | Marcus Njissang | Case Manager/Care Coordinator | 1900 6th St, Berkeley, CA 94710-2005 | 2014-10-07 |
| 1053731638 | Michele Gusse | Case Manager/Care Coordinator | 3200 Adeline St, Berkeley, CA 94703-2407 | 2014-04-22 |
| 1558796987 | Donald Ivy Frazier Jr. | Case Manager/Care Coordinator | 1255 Allston Way, Berkeley, CA 94702-1833 | 2013-09-04 |
| 1518306745 | Stacy Lynn Kimmins | Case Manager/Care Coordinator | 2484 Shattuck Ave, Berkeley, CA 94704-2076 | 2013-06-20 |
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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.