SAMANTHA N TERRISS (NPI# 1336755800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336755800 |
| Entity Type | Individual |
| Full Name | SAMANTHA N TERRISS |
| Practice Address |
80 Dominga Ave Fairfax CA 94930-1604 |
| Practice Telephone | 5109675772 |
| Mailing Telephone | 5109675772 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 47395 | CA | Behavioral Health & Social Service Providers |
| Street Address |
80 DOMINGA AVE |
| City | FAIRFAX |
| State | CA |
| Zip Code | 94930-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649606187 | Jason Neal Linder | Marriage & Family Therapist | 189 Canyon Road, Fairfax, CA 94930 | 2013-09-16 |
| 1760661920 | Joseph Phillip Smith | Chiropractor | 85 Bolinas Rd Ste 2, Fairfax, CA 94930 | 2007-10-24 |
| 1033735436 | Amie Lois Rudolph | Social Worker | Ucsf Benioff Children's Hospital, 1975 4th Street, San Francisco, CA 94930 | 2020-06-22 |
| 1184172587 | Marian Devereaux | Dietitian, Registered | 251 Oak Manor Dr, Fairfax, CA 94930-1014 | 2016-09-14 |
| 1629312863 | Silke Greiner | Massage Therapist | 73 Gregory Dr, Fairfax, CA 94930-1025 | 2012-11-10 |
| 1659418473 | Caremeridian, LLC | Skilled Nursing Facility | 2390 Sir Francis Drake Blvd, Fairfax, CA 94930-1127 | 2007-01-31 |
| 1861676561 | Paul Alan Steinman | Pediatrics | 169 Willow Ave, Fairfax, CA 94930-1219 | 2007-12-18 |
| 1043549595 | Gail Danchig | Marriage & Family Therapist | 110 Willow Ave, Fairfax, CA 94930-1220 | 2009-12-11 |
| 1598975773 | Anya Maruscha | Social Worker | 53 Taylor Dr, Fairfax, CA 94930-1261 | 2007-05-23 |
| 1053502112 | Gislene Maria Peral | Occupational Therapist | 336 Olema Rd, Fairfax, CA 94930-1318 | 2007-08-05 |
| Find all providers in zip 94930 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417431149 | Jonathan Dixon | Marriage & Family Therapist | 9677 Main St # A-b, Fairfax, VA 22031-3763 | 2018-09-19 |
| 1730579673 | Victoria Alexis Mckenna | Marriage & Family Therapist | 10570 Main St, Apt 511, Fairfax, VA 22030-7113 | 2015-01-30 |
| 1649606187 | Jason Neal Linder | Marriage & Family Therapist | 189 Canyon Road, Fairfax, CA 94930 | 2013-09-16 |
| 1790031854 | Maureen Smith Bethea | Marriage & Family Therapist | 10640 Page Ave Ste 210, Fairfax, VA 22030-4000 | 2012-07-26 |
| 1043549595 | Gail Danchig | Marriage & Family Therapist | 110 Willow Ave, Fairfax, CA 94930-1220 | 2009-12-11 |
| 1407029291 | Amy Ione Holle | Marriage & Family Therapist | 351 Olema Rd, Fairfax, CA 94930-1339 | 2008-04-11 |
| 1295948834 | Alexander Binik | Marriage & Family Therapist | 7 Meadow Way, Fairfax, CA 94930-2151 | 2007-05-08 |
| 1811064090 | Brent L Bowen | Marriage & Family Therapist | 10605 Judicial Dr, Building A-4, Fairfax, VA 22030-5167 | 2006-11-30 |
| 1265031728 | Rachel Cheche Hoover | Marriage & Family Therapist | 10640 Page Ave Ste 210, Fairfax, VA 22030-4000 | 2020-10-25 |
| 1689273740 | Fairfax Integrative Therapy, LLC | Marriage & Family Therapist | 10640 Page Ave Ste 210, Fairfax, VA 22030-4000 | 2020-10-20 |
| Find all providers in FAIRFAX | ||||
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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.