BERNADINE GOUDEAU (NPI# 1366564080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366564080 |
Entity Type | Individual |
Full Name | BERNADINE GOUDEAU |
Credential | COUNSELOR |
Practice Address |
11905 S Central Ave Suite 205 Los Angeles CA 90059-2836 |
Mailing Address |
942 E 116th St Los Angeles CA 90059-1602 |
Practice Telephone | 3232499026 |
Practice Fax Number | 3232498367 |
Mailing Telephone | 2132801012 |
Mailing Fax Number | 3235637087 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 4282 | CA | Behavioral Health & Social Service Providers |
Street Address |
11905 S CENTRAL AVE SUITE 205 |
City | LOS ANGELES |
State | CA |
Zip Code | 90059-2836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194792218 | Cheryl Diane Bingham | Dentist | 11905 S Central Ave, #203, Los Angeles, CA 90059-2836 | 2006-03-07 |
1013455179 | Toni Wright | Rehabilitation Practitioner | 11905 S Central Ave, Los Angeles, CA 90059-2897 | 2017-02-08 |
1467873265 | Sunkwa Community Foundation | General Practice | 11905 S Central Ave, Suite 100, Los Angeles, CA 90059-2897 | 2013-12-20 |
1346672458 | Maria Razo | Counselor | 11905 S Central Ave, Suite 200/206, Los Angeles, CA 90059-2897 | 2013-07-31 |
1033556923 | Dennis Smith | Counselor | 11905 S Central Ave, Ste 204-205, Los Angeles, CA 90059-2897 | 2013-05-31 |
1881948909 | Damon Beverly | Counselor | 11905 S Central Ave, Suite 200, 204, 205, 206, Los Angeles, CA 90059-2897 | 2012-10-29 |
1497009518 | Patrick Bell | Counselor | 11905 S Central Ave, Suite 200, 204, 205, 206, Los Angeles, CA 90059-2897 | 2012-10-29 |
1700130820 | Manuel Lopez | Counselor | 11905 S Central Ave, Suite 200,204,205,206, Los Angeles, CA 90059-2897 | 2012-10-29 |
1306197033 | Sunkwa African Art and Craft | Clinic/Center | 11905 S Central Ave, Ste. 100, Los Angeles, CA 90059-2897 | 2012-09-20 |
1689940983 | Martha Godinez | Counselor | 11905 S Central Ave, Suite 205, Los Angeles, CA 90059-2897 | 2012-03-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
Find all providers in zip 90059 |
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 |
---|---|---|---|---|
1952913055 | Jose Islas | Counselor | 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 | 2020-08-19 |
1154931491 | Delia Maria Cortez | Counselor | 12133 Clarkson Rd, Los Angeles, CA 90064-3519 | 2020-08-02 |
1457974263 | Simeon Simov | Counselor | 11845 W Olympic Blvd # 815e, Los Angeles, CA 90064-1149 | 2020-05-27 |
1780206524 | Keisha Whitfield | Counselor | 1123 W 7th St # 25, Los Angeles, CA 90017-2409 | 2020-05-14 |
1467073965 | Flowlab Inc | Counselor | 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 | 2020-05-06 |
1619504925 | Tanisha N Tatum | Counselor | 5777 W Century Blvd # 11102035, Los Angeles, CA 90045-5600 | 2020-03-25 |
1083241988 | Rezolve Telemed | Counselor | 8275 Kirkwood Dr, Los Angeles, CA 90046-1923 | 2020-03-23 |
1902439656 | Maria Velazquez | Counselor | 5318 S Crenshaw Blvd, Los Angeles, CA 90043-1810 | 2020-02-20 |
1922647569 | Ping Sun | Counselor | 520 S Sepulveda Blvd Ste 200, Los Angeles, CA 90049-3534 | 2019-12-30 |
1780233213 | Rafael Martin Perez | Counselor | 5955 Hooper Ave Apt A, Los Angeles, CA 90001-1292 | 2019-09-06 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90059 |
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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.