MS. MARY LOUISE MADISON (NPI# 1205171774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205171774 |
| Entity Type | Individual |
| Full Name | MS. MARY LOUISE MADISON |
| Credential | MFTI |
| Practice Address |
1604 S. Santa Fe., Suite 403 Valley-wide Counseling Services San Jacinto CA 92583-4074 |
| Practice Telephone | 9516542026 |
| Practice Fax Number | 9516549927 |
| Mailing Telephone | 9516542026 |
| Mailing Fax Number | 9516549927 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF71697 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773124 | Mary Madison | Occupational Therapist | 10222 Ne 103rd Ter, Kansas City, MO 64157-7658 | 2017-04-07 |
| 1780905422 | Mary Lee Madison | Counselor | 1620 Pleasant St Ste 237, Des Moines, IA 50314-1676 | 2010-06-17 |
| Street Address |
1604 S. SANTA FE., SUITE 403 VALLEY-WIDE COUNSELING SERVICES |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| 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 |
|---|---|---|---|---|
| 1821540022 | Miriam Mina Mills | Marriage & Family Therapist | 1604 S Santa Fe Ave Ste 403, San Jacinto, CA 92583-5063 | 2016-11-04 |
| 1790078244 | Betty G. Gibbel Regional Learning Center | Marriage & Family Therapist | 1251 Eagle Rd, San Jacinto, CA 92583-2754 | 2011-05-17 |
| 1528358785 | Karen Aja | Marriage & Family Therapist | 2531 S San Jacinto Ave, San Jacinto, CA 92583-5317 | 2011-04-08 |
| 1821311234 | John Jacob Simmons | Marriage & Family Therapist | 442 W Esplanade Ave, Suite 114, San Jacinto, CA 92583-5006 | 2010-03-12 |
| 1184954992 | Shamea L Hall | Marriage & Family Therapist | 1356 Cloud Crest Way, San Jacinto, CA 92582-6218 | 2009-12-30 |
| 1669596144 | Janeen L Wilson | Marriage & Family Therapist | 1604 S Santa Fe Ave Ste 430, San Jacinto, CA 92583-5062 | 2007-03-19 |
| 1174655906 | Scott Alan Mcclung | Marriage & Family Therapist | 950 N Ramona Blv, #2, San Jacinto, CA 92582 | 2007-03-09 |
| 1376168674 | Mary Johanson | Marriage & Family Therapist | 1370 S State St, San Jacinto, CA 92583-4933 | 2020-06-11 |
| 1992320469 | Pilar Raygoza | Marriage & Family Therapist | 1370 S State St, San Jacinto, CA 92583-4933 | 2020-06-10 |
| 1285188581 | Daniel Michael Acosta | Marriage & Family Therapist | 1604 S Santa Fe Ave, #403, San Jacinto, CA 92583-5062 | 2016-08-04 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
Please comment or provide details below to improve the information on MS. MARY LOUISE MADISON.
| 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.