CHARLET A. INTHAVONGXAY (NPI# 1255680666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255680666 |
| Entity Type | Individual |
| Full Name | CHARLET A. INTHAVONGXAY |
| Practice Address |
9343 Tech Center Dr Fl 2 Suite 200 Sacramento CA 95826-2563 |
| Practice Telephone | 9163886400 |
| Practice Fax Number | 9166497158 |
| Mailing Telephone | 9163886400 |
| Mailing Fax Number | 9166497158 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
9343 TECH CENTER DR FL 2 SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248434 | Gordon Richardson | Social Worker | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2006-08-03 |
| 1740802792 | Kaylynn Barlow | Counselor | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2020-05-13 |
| 1932675253 | Kathryn Dulla | Counselor | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2018-10-15 |
| 1043793367 | Saihra Naz Nagin | Counselor | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2018-09-12 |
| 1225523772 | Riannon Allene Hall | Case Manager/Care Coordinator | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2018-06-27 |
| 1053806752 | Ashley Linstrom | Case Manager/Care Coordinator | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2018-06-25 |
| 1225529860 | Azucena Tafolla | Case Manager/Care Coordinator | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2018-05-18 |
| 1467988519 | Shannan Oconnor | Marriage & Family Therapist | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826 | 2017-05-11 |
| 1851797286 | Georgina Lee Holden | Marriage & Family Therapist | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2014-11-12 |
| 1184998411 | Rebecca Jones | Case Manager/Care Coordinator | 9343 Tech Center Dr Fl 2, Sacramento, CA 95826-2563 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| 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 |
|---|---|---|---|---|
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
| 1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
| 1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
| 1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| 1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
Please comment or provide details below to improve the information on CHARLET A. INTHAVONGXAY.
| 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.