JESSE COLLIN MARTIN (NPI# 1346473642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346473642 |
| Entity Type | Individual |
| Full Name | JESSE COLLIN MARTIN |
| Practice Address |
3315 Airway Dr Santa Rosa CA 95403-2005 |
| Practice Telephone | 7075232242 |
| Practice Fax Number | 7075263817 |
| Mailing Telephone | 7075232242 |
| Mailing Fax Number | 7075263817 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001170 | Jesse Martin | Specialist/Technologist | 2463 Augusta Hwy, Lexington, SC 29072-2215 | 2014-07-18 |
| 1205114956 | Jesse Wells Martin | Behavioral Analyst | 8600 W Charleston Blvd, 2127, Las Vegas, NV 89117-5407 | 2011-07-29 |
| 1124261490 | Jesse Carroll Martin | Speech-Language Pathologist | 1526 E 7th Ave, Spokane, WA 99202-5510 | 2009-04-15 |
| 1932668787 | Jesse Martin | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2019-03-19 |
| 1346709748 | Jesse Martin | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2019-03-15 |
| 1487122560 | Jesse Martin | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
| 1982985958 | Jesse Charles Martin | Counselor | 2945 S Miami Blvd, Suite 103, Durham, NC 27703-8024 | 2011-09-06 |
| 1144514571 | Jesse Allen Martin | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2011-06-02 |
| 1609174093 | Jesse Q. Martin | Physician Assistant | 100 Market Place Blvd, Suite 200, Cartersville, GA 30121-8718 | 2011-03-09 |
| Street Address |
3315 AIRWAY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356512032 | California Human Develpment Corporation | Substance Abuse Rehabilitation Facility | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2008-03-20 |
| 1396395968 | Estefani Abigail Reyes | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2019-09-16 |
| 1811347115 | Ryan Sansome | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2016-06-16 |
| 1790135275 | Laura Gomez | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2016-06-15 |
| 1194196790 | Jason Robinson | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2015-10-08 |
| 1699197970 | Terrance Henderson | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2014-01-06 |
| 1700207255 | Ana Lugo | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2013-12-31 |
| 1275967556 | John Anthony Gallagher | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2013-08-22 |
| 1821422114 | Virginia T Harris | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2013-08-22 |
| 1215277132 | Rosa Angelina Tapia | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089803 | Joan Colombo | Counselor | 1450 Neotomas Ave, Santa Rosa, CA 95405-7537 | 2020-07-02 |
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1780147538 | Aimee Noelle Krzywicki | Counselor | 2403 Professional Dr Ste 102, Santa Rosa, CA 95403-3007 | 2019-04-09 |
| 1811487903 | Michael Armand Maritzen | Counselor | 2245 Challenger Way # 100, Santa Rosa, CA 95407-5418 | 2018-05-14 |
| 1922520527 | Robert John Lotero | Counselor | 7104 Oak Leaf Dr, Santa Rosa, CA 95409-6028 | 2017-07-14 |
| 1184153728 | Amanda Christina Gomez-hernandez | Counselor | 2400 County Center Dr Ste B, Santa Rosa, CA 95403-3004 | 2017-06-07 |
| 1225577968 | Kari Kenyon | Counselor | 1380 Wright St Apt 8, Santa Rosa, CA 95404-3437 | 2017-02-14 |
| 1013368083 | Stanley Bragg Jr. | Counselor | 6119 Montecito Blvd Apt 12, Santa Rosa, CA 95409-2969 | 2016-06-30 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on JESSE COLLIN MARTIN.
| 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.