JAQUELINE LARA (NPI# 1356791859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356791859 |
| Entity Type | Individual |
| Full Name | JAQUELINE LARA |
| Practice Address |
12440 Firestone Blvd Ste 3020 Norwalk CA 90650-9328 |
| Practice Telephone | 5628647821 |
| Mailing Telephone | 5628647821 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440449 | Jaqueline Lara | Counselor | 12755 Brookhurst St, Garden Grove, CA 92840-4857 | 2016-08-01 |
| Street Address |
12440 FIRESTONE BLVD STE 3020 |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-9328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576098 | Jackie Jackson | Specialist | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2006-12-21 |
| 1881201499 | Amberlynne Dickens | Social Worker | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-28 |
| 1811503220 | Kimberly Pacheco | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-21 |
| 1205441805 | Varsha Kumar | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-10 |
| 1215542824 | Jana Elrabaa | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-10 |
| 1881208759 | Monica Esmeralda Garcia | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-09-08 |
| 1982215463 | Mackenzie Watkins | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| 1235740713 | Sergio I Osorio | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-08-10 |
| 1881212173 | Joselyn Isabel Beltran | Case Manager/Care Coordinator | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-07-13 |
| 1871110379 | Veronica Lizett Soni | Licensed Psychiatric Technician | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| 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 |
|---|---|---|---|---|
| 1184240665 | Marsha Techeira | Marriage & Family Therapist | 304 Main Ave Unit 178, Norwalk, CT 06851-6167 | 2020-06-22 |
| 1427603596 | Wellness Point Counseling LLC | Marriage & Family Therapist | 70 New Canaan Ave Ste 2, Norwalk, CT 06850-2600 | 2019-08-06 |
| 1568979003 | Debra L. Koenig, Lmft, LLC | Marriage & Family Therapist | 91 East Ave Ste 200, Norwalk, CT 06851-5020 | 2018-01-05 |
| 1518400860 | William Rogers | Marriage & Family Therapist | 325 Flax Hill Rd, Norwalk, CT 06854-2405 | 2016-11-18 |
| 1992157150 | Jennifer Barrios | Marriage & Family Therapist | 12440 Firestone Blvd Ste 3015, Norwalk, CA 90650-9333 | 2016-07-11 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1316327901 | Quisha M Castro | Marriage & Family Therapist | 12440 E Firedstone Blvd, 3020, Norwalk, CA 90650-9331 | 2015-06-09 |
| 1104205129 | Matthew Ryan Enriquez | Marriage & Family Therapist | 12348 Front St, Norwalk, CA 90650-4206 | 2015-05-22 |
| 1386023406 | Alexandra De Valengin Bosee | Marriage & Family Therapist | 1 N Water St, Apt 304, Norwalk, CT 06854-2260 | 2015-05-21 |
| 1396151908 | Kadria Idris Sadik-khan | Marriage & Family Therapist | 283 Rowayton Ave, Norwalk, CT 06853-1021 | 2014-07-02 |
| Find all providers in NORWALK | ||||
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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.