MR. JACK S SIAMU (NPI# 1336473149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336473149 |
| Entity Type | Individual |
| Full Name | MR. JACK S SIAMU |
| Credential | MS LPC |
| Practice Address |
6301 Central Ave Nw Albuquerque NM 87105-2036 |
| Practice Telephone | 5053523441 |
| Practice Fax Number | 5053523400 |
| Mailing Telephone | 5053523441 |
| Mailing Fax Number | 5053523400 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1770 | NM | Behavioral Health & Social Service Providers |
| Street Address |
6301 CENTRAL AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356468375 | Diana Lopez | Counselor | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2007-03-23 |
| 1518501972 | Jennifer Ann Chavez | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2019-10-29 |
| 1124573696 | Katherine Hellebust | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2016-08-24 |
| 1932654407 | Delma Madrigal | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2016-08-24 |
| 1639505548 | Stephen Lawrence Fortess | Counselor | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2013-09-24 |
| 1508134511 | Monica Marie Chavez | Social Worker | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2011-12-05 |
| 1679877682 | Joseph Padilla | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2011-01-05 |
| 1821399023 | Russell Rutherford | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2010-11-04 |
| 1871893263 | Pete Gabaldon | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2010-11-01 |
| 1649570243 | Louis Pacias | Case Manager/Care Coordinator | 6301 Central Ave Nw, Albuquerque, NM 87105-2036 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on MR. JACK S SIAMU.
| 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.