LISA PATCH (NPI# 1215169651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215169651 |
| Entity Type | Individual |
| Full Name | LISA PATCH |
| Practice Address |
2540 Charleston St Oakland CA 94602-2508 |
| Practice Telephone | 5105317551 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801427000 | Lisa L Patch | Behavior Technician | 112 Jefferson Street, Newnan, GA 30263 | 2020-01-28 |
| Street Address |
2540 CHARLESTON ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659574085 | Kelly Perce | Marriage & Family Therapist | 2540 Charleston St, Oakland, CA 94602-2508 | 2007-06-05 |
| 1619513660 | Natasha Garcia | Case Manager/Care Coordinator | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-11-25 |
| 1295370708 | Michaela Preston | Student in an Organized Health Care Education/Training Program | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-11-08 |
| 1679117873 | Skyler A Noble | Case Manager/Care Coordinator | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-10-30 |
| 1073163606 | Adriana Zapien | Case Manager/Care Coordinator | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-09-16 |
| 1710536370 | Melissa Rachael Bergson | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-09-06 |
| 1831758812 | Alexander Herndon | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-06-12 |
| 1497311831 | Agnes Miklos-illes | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2019-05-10 |
| 1356818173 | Sarah Alyousfi | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2018-10-30 |
| 1730655861 | Blake Aaron Gibbs | Counselor | 2540 Charleston St, Oakland, CA 94602-2508 | 2018-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099832 | Marlena Sara Hartman-filson | Counselor | 422 38th St Apt A, Oakland, CA 94609-2778 | 2020-09-23 |
| 1801412689 | Lindsey Schwartz | Counselor | 7200 Bancroft Ave, Building B, Ste 133, Oakland, CA 94605-2480 | 2020-06-17 |
| 1013538487 | Alex Weinstein | Counselor | 4264 Norton Ave, Oakland, CA 94602-4018 | 2020-04-27 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1992342810 | Zoe Karanfilian | Counselor | 62 Vancleave Way, Oakland, CA 94619-2340 | 2019-12-10 |
| 1881154763 | Cia A Robles | Counselor | 3798 Grand Ave Ste 1, Oakland, CA 94610-1527 | 2019-03-25 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1013489954 | Jasmine J Rutherford | Counselor | 3301 E 12th St Ste 116, Oakland, CA 94601-3424 | 2018-12-17 |
| 1366910549 | Raven Porter | Counselor | 2747 76th Ave, Oakland, CA 94605-2809 | 2018-11-06 |
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| Find all providers in OAKLAND | ||||
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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.