RITA YACOUB (NPI# 1174006076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174006076 |
| Entity Type | Individual |
| Full Name | RITA YACOUB |
| Credential | MFTI |
| Practice Address |
251 E Hackett Rd Modesto CA 95358-9800 |
| Practice Telephone | 2095582254 |
| Mailing Telephone | 2095582254 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 106801 | CA | Behavioral Health & Social Service Providers |
| Street Address |
251 E HACKETT RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083745780 | Theppharack Ad Sounthala | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9415 | 2007-03-07 |
| 1346758299 | Katie Lynn Insco | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2018-01-12 |
| 1417470154 | Phillip Ballasch | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2017-07-25 |
| 1184098071 | Marisa Caratachea | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2015-11-16 |
| 1326391178 | Dora Ceja | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2012-10-17 |
| 1083976849 | Monica Hibler | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2012-06-07 |
| 1316221641 | Beverly Maribel Perez | Marriage & Family Therapist | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2011-10-05 |
| 1417283128 | Carmen Sandra Belmares | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2009-10-30 |
| 1457687428 | Barbara Ann Pearce Chiesa | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2009-10-27 |
| 1710211321 | Xochitl Magallan | Counselor | 251 E Hackett Rd, Modesto, CA 95358-9800 | 2009-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
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| 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 |
|---|---|---|---|---|
| 1891303731 | Youth for Christ Central Valley | Marriage & Family Therapist | 1101 M St, Modesto, CA 95354-0755 | 2020-07-16 |
| 1336629229 | Matina Trigo | Marriage & Family Therapist | 420 Downey Ave, Modesto, CA 95354-1301 | 2018-08-20 |
| 1629558903 | Central Valley Therapeutic Alliance, Inc. | Marriage & Family Therapist | 201 E Orangeburg Ave Ste F, Modesto, CA 95350-5355 | 2018-08-16 |
| 1659888543 | Dr. Irit Goldman Psy.d Lmft | Marriage & Family Therapist | 1604 Ford Ave Ste 1, Modesto, CA 95350-4649 | 2018-01-02 |
| 1013461748 | Pamela Christine Remides | Marriage & Family Therapist | 615 14th St, Modesto, CA 95354-2504 | 2016-08-10 |
| 1073964805 | Dwight Simpson Sr. | Marriage & Family Therapist | 1705 Ardmore Ave, Modesto, CA 95350-4100 | 2016-06-22 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1750620902 | Jacquelyn Irene Mitchell | Marriage & Family Therapist | 3049 Darlene Ln, Modesto, CA 95355-4157 | 2013-02-07 |
| 1891046512 | Brittany Elizabeth Rushin | Marriage & Family Therapist | 1015 12th St Ste 11, Modesto, CA 95354-0838 | 2012-09-20 |
| 1467715979 | Angela Jean Kelley | Marriage & Family Therapist | 1809 Lobero Ln, Modesto, CA 95355-2521 | 2012-06-19 |
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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.