THEODORE RODGERS (NPI# 1366745747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366745747 |
| Entity Type | Individual |
| Full Name | THEODORE RODGERS |
| Practice Address |
835 Castro St Martinez CA 94553-1611 |
| Practice Telephone | 9252656660 |
| Practice Fax Number | 9256461155 |
| Mailing Telephone | 9252656660 |
| Mailing Fax Number | 9256461155 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
835 CASTRO ST |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699907204 | Linda Mullen | Marriage & Family Therapist | 835 Castro St, Martinez, CA 94553-1611 | 2009-08-14 |
| 1336761402 | Nancy Loera Mejia | Student in an Organized Health Care Education/Training Program | 835 Castro St, Martinez, CA 94553-1611 | 2020-05-12 |
| 1639460124 | Eric Parbie | Counselor | 835 Castro St, Martinez, CA 94553-1611 | 2011-05-02 |
| 1306176425 | Jazzmin Cohen | Counselor | 835 Castro St, Martinez, CA 94553-1611 | 2010-01-12 |
| 1003140682 | Claudio Figueroa | Counselor | 835 Castro St, Martinez, CA 94553-1611 | 2009-09-29 |
| 1912139494 | Lucy Bartel | Case Manager/Care Coordinator | 835 Castro St, Martinez, CA 94553-1611 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1003466798 | Jill Andrea Ballesteros | Counselor | 4400 Columbia Rd Ste 102, Martinez, GA 30907-4551 | 2019-09-16 |
| 1285021998 | Zondra Rashell Mele | Counselor | 145 Caymen Ct, Martinez, GA 30907-1423 | 2015-04-20 |
| 1912286089 | Joy Welcker | Counselor | 302 Baston Rd., Martinez, GA 30907 | 2011-08-08 |
| 1003140435 | Genette Mary Phelps | Counselor | 4512 Jessie Rd, Martinez, GA 30907-9759 | 2009-10-02 |
| 1285811570 | Martha Delgado | Counselor | 3755 Alhambra Ave, Suite 9, Martinez, CA 94553-3833 | 2008-01-29 |
| 1003018847 | Jennifer Jean Tuipulotu | Counselor | 202 Glacier Dr Fl 2, Martinez, CA 94553-4826 | 2007-06-04 |
| 1245443399 | New Connections Behavioral Health Servives | Counselor | 30 Muir Rd, Martinez, CA 94553-4601 | 2007-05-07 |
| 1467429126 | Buddy D. Sanders | Counselor | 119 Davis Road, Suite 1- B, Martinez, GA 30907-0200 | 2006-03-02 |
| 1205459179 | Gina Christine Drace | Counselor | 904 Mellus St, Martinez, CA 94553-1745 | 2020-05-26 |
| 1013459676 | Pierian Spring Counseling LLC | Counselor | 4210 Columbia Rd, Suite 5d, Martinez, GA 30907-0401 | 2016-11-14 |
| Find all providers in MARTINEZ | ||||
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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.