MS. ELVA MOUTON (NPI# 1205154135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205154135 |
| Entity Type | Individual |
| Full Name | MS. ELVA MOUTON |
| Credential | MFTI |
| Practice Address |
5325 Broder Blvd Dublin CA 94568-3309 |
| Mailing Address |
1 E Lake Ct Antioch CA 94509-2040 |
| Practice Telephone | 9255516740 |
| Practice Fax Number | 9255516727 |
| Mailing Telephone | 9257535025 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 56478 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | 000 | 01 |
| Street Address |
5325 BRODER BLVD |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043250079 | Dennis Arthur O'brien | Psychiatry & Neurology | 5325 Broder Blvd, Dublin, CA 94568 | 2006-06-07 |
| 1982202891 | Madison Monahan | Student in an Organized Health Care Education/Training Program | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-10-13 |
| 1245838556 | Patricia Geronimo | Marriage & Family Therapist | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-10-09 |
| 1891303269 | Telecare Corporation | Community/Behavioral Health | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-07-21 |
| 1902420557 | Shawanda Mcgee-powell | Social Worker | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-05-29 |
| 1568085462 | Morsell Zazi | Registered Nurse | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-05-26 |
| 1982232245 | Sadaf Possani | Nurse Practitioner | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2020-03-31 |
| 1477195568 | Options Recovery Services | Community/Behavioral Health | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-10-10 |
| 1780233650 | Razalyn Dyan Nickola | Counselor | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-09-04 |
| 1740839638 | Jessica Stevenson | Counselor | 5325 Broder Blvd, Dublin, CA 94568-3309 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| 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 |
|---|---|---|---|---|
| 1801442504 | Vivian B Andrews | Marriage & Family Therapist | 11740 Dublin Blvd Ste 202d, Dublin, CA 94568-2825 | 2019-08-18 |
| 1376912055 | Callie Mitchell | Marriage & Family Therapist | 6135 Memorial Dr Ste 104, Dublin, OH 43017-9008 | 2015-09-23 |
| 1184040230 | Billie Jo Withrow | Marriage & Family Therapist | 3839 Silvera Ranch Dr, Dublin, CA 94568-7260 | 2014-03-13 |
| 1477997732 | Amber Shavonne Kear | Marriage & Family Therapist | 270 Bradenton Ave, Suite 110, Dublin, OH 43017-7584 | 2013-04-17 |
| 1942554464 | Rebecca Horne | Marriage & Family Therapist | 715 James Currie Road, Classic Equestrian Family Services, Dublin, GA 31021 | 2012-11-06 |
| 1356620876 | Heather Dreme Mclennan | Marriage & Family Therapist | 270 Bradenton Ave Ste 110, Dublin, OH 43017-7586 | 2011-08-15 |
| 1699006395 | Michael W Payne | Marriage & Family Therapist | 11828 Dublin Blvd, Suite O, Dublin, CA 94568-2830 | 2010-01-19 |
| 1952636193 | Michael S. O'leary | Marriage & Family Therapist | 5131 Post Rd, Ste. 375, Dublin, OH 43017-1160 | 2009-10-06 |
| 1437387685 | Jila Behnad | Marriage & Family Therapist | 5169 Aspen St, Dublin, CA 94568-7674 | 2009-06-26 |
| 1710112743 | Hifza Hasnat | Marriage & Family Therapist | 4531 Sandyford Ct, Dublin, CA 94568-7838 | 2009-05-20 |
| Find all providers in DUBLIN | ||||
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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.