LEO OSWALDO MERINO (NPI# 1215563804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215563804 |
| Entity Type | Individual |
| Full Name | LEO OSWALDO MERINO |
| Credential | LAC |
| Practice Address |
291 W. Casa Blanca Rd. Bldg. # 7 Sacaton AZ 85147 |
| Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
| Practice Telephone | 5205623323 |
| Mailing Telephone | 5205623323 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LAC-18476 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 483 W. Seed Farm Road, Sacaton, AZ 85147 | 6025287100 |
| Street Address |
291 W. CASA BLANCA RD. BLDG. # 7 |
| City | SACATON |
| State | AZ |
| Zip Code | 85147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
| 1518580158 | Charlie Ginn | Counselor | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2020-05-18 |
| Find all providers in zip 85147 | ||||
| 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 |
|---|---|---|---|---|
| 1295362101 | Adriane Miles | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-23 |
| 1255966099 | Ruth Ann Rowland | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-11 |
| 1588299739 | Barbara Halvorson | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-09 |
| 1043857741 | Claudia Ward | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-12-02 |
| 1952867566 | Lara Dee Siers | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-02-19 |
| 1124505045 | Shana Morgan Liddell | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2018-07-24 |
| 1538617022 | Martin Lopez | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-0001 | 2016-09-14 |
| 1215214473 | Carole A Love | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2011-11-15 |
| 1205113461 | Darin C Uhrich | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2011-11-15 |
| 1770860934 | Arlene S Allison | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2011-11-15 |
| Find all providers in SACATON | ||||
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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.