DESTINY TIESE TITTLE (NPI# 1154970309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154970309 |
| Entity Type | Individual |
| Full Name | DESTINY TIESE TITTLE |
| Practice Address |
9570 Center Ave Ste 110 Rancho Cucamonga CA 91730-5842 |
| Mailing Address |
8734 Bellladona Rd Riverside CA 92508 |
| Practice Telephone | 9099802789 |
| Mailing Telephone | 3109463383 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
9570 CENTER AVE STE 110 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-5842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427189133 | Jacqueline Maria Moncada | Marriage & Family Therapist | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2007-03-07 |
| 1649889783 | Jessica Marlene Rodriguez | Community Health Worker | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2020-07-24 |
| 1124648621 | Maritza Lopez | Community Health Worker | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2020-04-24 |
| 1083257018 | Karla L. Vega | Case Manager/Care Coordinator | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2019-10-22 |
| 1144878042 | Edith Penaloza | Counselor | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2019-09-04 |
| 1700434875 | Tyler Hardge | Case Manager/Care Coordinator | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2019-08-30 |
| 1245888510 | Tiffany Anne Gibson-orial | Marriage & Family Therapist | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2019-08-29 |
| 1457909848 | Ariana Cervantes | Counselor | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2019-08-28 |
| 1679048730 | Michael Slater | Counselor | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5814 | 2018-10-04 |
| 1659890275 | Ana Ruby Mendoza I | Behavioral Analyst | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548555 | Aimee Nicole Benitez | Peer Specialist | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-03-19 |
| 1306304555 | Evelyn Cervantes | Peer Specialist | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-03-06 |
| 1548726938 | Juan Carlos Barajas | Peer Specialist | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on DESTINY TIESE TITTLE.
| 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.