MICHELE DEGERNESS (NPI# 1235746843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235746843 |
| Entity Type | Individual |
| Full Name | MICHELE DEGERNESS |
| Credential | MHRS |
| Practice Address |
423 Safflower Pl West Sacramento CA 95691-4611 |
| Practice Telephone | 9164703597 |
| Mailing Telephone | 9164703597 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EL HOGAR | 101Y00000X | 01 |
| Street Address |
423 SAFFLOWER PL |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95691-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298545 | Breanna Lenae Garcia | Registered Nurse | 980 Central Street, Apartment 312, West Sacramento, CA 95691 | 2019-07-26 |
| 1093192650 | Heliodoro Magana | Physician Assistant | 2901 Colleent Court, West Sacramento, CA 95691 | 2015-05-04 |
| 1699187823 | Eugene Louis | Pharmacist | 1601 1/2 West Capital Ave., West Sacramento, CA 95691 | 2014-05-22 |
| 1184874026 | Dental Corporation of Amardeep Gill Dds | Dentist | 2455 Jefferson Blvd, Suite 130, West Sacramento, CA 95691 | 2008-09-29 |
| 1487784328 | Sidney Bahr Freeman | Dentist | 820 Westacre Rd, West Sacramento, CA 95691 | 2007-03-07 |
| 1073671038 | Tari Leanne Tribble | Physician Assistant | 2101 Stone Blvd #190, West Sacramento, CA 95691 | 2006-12-04 |
| 1942375068 | Yuly Vilderman Dds A Dental Corporation | Dentist | 825 Harbor Blvd, West Sacramento, CA 95691 | 2006-11-22 |
| 1760569537 | Elizabeth Barber | Marriage & Family Therapist | 1250 Harbor Blvd #600, Telecare Yolo Strides, West Sacramento, CA 95691 | 2006-11-01 |
| 1831207059 | Norman Gary Larsen | Physical Therapist | 3680 Industrial Blvd, #550h Us Health Works Med Group, West Sacramento, CA 95691 | 2006-08-28 |
| 1093790305 | Nancy Warden | Pediatrics | 1276 Halyard Dr, West Sacramento, CA 95691 | 2005-12-08 |
| Find all providers in zip 95691 | ||||
| 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 |
|---|---|---|---|---|
| 1225589500 | Kaitlyn Marsh | Counselor | 3050 Beacon Blvd Ste 200a, West Sacramento, CA 95691-3467 | 2016-10-20 |
| 1881078731 | Elizabeth Alvarez | Counselor | 500 Jefferson Blvd Bldg B, West Sacramento, CA 95605-2350 | 2015-07-09 |
| 1619010055 | Jana Kristine Cooper | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2007-02-15 |
| 1346774635 | Alex Davidson | Counselor | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691 | 2017-04-13 |
| 1295196996 | Jacqueline Davis | Counselor | 500 Jefferson Blvd, Suite B, West Sacramento, CA 95605-2350 | 2016-03-09 |
| 1528273786 | Sue Lomax | Counselor | 500 Jefferson Blvd # B, Suite 180, West Sacramento, CA 95605-2350 | 2007-05-11 |
| 1649300831 | Aida Perez | Counselor | 3120 Freeboard Dr, West Sacramento, CA 95691-5039 | 2007-03-06 |
| 1497881262 | Renee Michelle Johnson | Counselor | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 | 2007-02-26 |
| 1265586390 | Cynthia Moreno | Counselor | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 | 2007-01-23 |
| 1871663351 | Melissa Colon | Counselor | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 | 2006-11-09 |
| Find all providers in WEST SACRAMENTO | ||||
| City | WEST SACRAMENTO |
| Zip Code | 95691 |
Please comment or provide details below to improve the information on MICHELE DEGERNESS.
| 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.