JERRY FARMER


Address: 1028 Reno Ave, Modesto, CA 95351-1127
Phone: 2095791103

JERRY FARMER (NPI# 1205392859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205392859
Entity Type Individual
Full Name JERRY FARMER
Practice Address 1028 Reno Ave
Modesto
CA 95351-1127
Mailing Address 1100 Kansas Ave Ste B
Modesto
CA 95351-1596
Practice Telephone 2095791103
Mailing Telephone 2095791151
Enumeration Date 2019-02-19
Last Update Date 2019-02-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 1028 RENO AVE
City MODESTO
State CA
Zip Code 95351-1127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396868295 Michael Edward Bagley Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2007-04-08
1306302963 Elizabeth Tillman Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2019-02-19
1164988721 Jessie James Lawrence Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2019-02-19
1649736208 David Rivera Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2019-02-19
1225593841 Cleveland Crowley Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2019-02-07
1528523545 Robert Chapman Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2019-02-04
1053882183 Robert Carl Thompson Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2018-12-16
1811200439 Nirvana Drug and Alcohol Institute Substance Abuse Rehabilitation Facility 1028 Reno Ave, Modesto, CA 95351-1127 2010-07-24
1528286580 David Glen Kirkland Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2007-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700392487 Western Dental Services, Inc. Dentist 1524 Richland Ave, Ceres, CA 95351 2017-12-18
1881039873 Sabrina Arora-thissen Family Medicine 401 Paradise Rd. Ste, Modesto, CA 95351 2013-05-03
1407163561 Maliza Cahee Oliver Dentist 1404 Mitchell Rd, Modesto, CA 95351 2010-09-09
1124345616 Jason Lee Paul Wayrynen Social Worker 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 2010-04-23
1841469640 Edgar Hse-hwa Han Physical Medicine & Rehabilitation 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 2008-02-26
1326259326 Karen Ann Peterson Nurse Practitioner 1340 Mitchell Rd, Modesto, CA 95351 2007-05-24
1013139054 Bounchanh Trysavath Physician Assistant 300 I St, Modesto, CA 95351 2007-05-02
1245363464 Sharon Basaldua1 Counselor 813 Moon Lane, Modesto, CA 95351 2007-03-14
1710046834 Phil Chen Dentist 1460 Mitchell Road, Suite B, Modesto, CA 95351 2006-12-06
1649366055 Victor Y. Chen Family Medicine 401 Paradise Road, Suite E, Modesto, CA 95351 2006-10-04
Find all providers in zip 95351

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063055812 Diana Harrison Counselor 1235 Mchenry Ave # A&b, Modesto, CA 95350-5370 2019-10-24
1710468095 Dominic Maurice Casaca Counselor 616 Perfidia Ave, Modesto, CA 95351-4135 2018-08-24
1659867513 Amalia Tapia Counselor 1235 Mchenry Ave Unit A&b, Modesto, CA 95350-5370 2018-07-03
1265934301 Ben Hopp Counselor 123 Mchenry Ave, Modesto, CA 95354-0541 2018-03-05
1447772488 Selenee Marie Flores Counselor 1235 Mchenry Ave # Ab, Modesto, CA 95350-5370 2017-07-12
1801325477 Holly Elizabeth Moore Counselor 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 2017-06-07
1942737507 Gloria Edith Robles Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2017-05-15
1184088668 Michelle Lucas Counselor 1421 Mosswood Ln, Modesto, CA 95355-1555 2016-04-11
1407229248 Roy Douglas Counselor 1235 Mcherney, A and B, Modesto, CA 95350-9411 2015-11-02
1639541394 Dynese Lee Addotta Counselor 1520 Goldenwood Dr, Modesto, CA 95350-3865 2015-10-21
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95351

Improve Information

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Dataset Information

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.

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