TAIRA ST. JOHN (NPI# 1417272501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417272501 |
| Entity Type | Organization |
| Organization Name | TAIRA ST. JOHN |
| Other Organization Name | CLEAR LAKE COUNSELING CENTER |
| Practice Address |
149 N Main St Suite 210 Lakeport CA 95453-4832 |
| Mailing Address |
Po Box 716 Lakeport CA 95453-0716 |
| Practice Telephone | 7072620400 |
| Practice Fax Number | 7072620340 |
| Mailing Telephone | 7072620400 |
| Mailing Fax Number | 7072620340 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |
| Authorized Official Name | DR. TAIRA ST. JOHN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7072620400 |
| Authorized Official Credential | PH.D., M.F.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Clear Lake Counseling Center | Doing Business As Name - Organization |
| Street Address |
149 N MAIN ST SUITE 210 |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497157218 | Jetta Meadows | Social Worker | 149 N Main St, Suite # 210, Lakeport, CA 95453-4832 | 2014-09-24 |
| 1386948875 | Taira St. John | Marriage & Family Therapist | 149 N Main St, Suite 210, Lakeport, CA 95453-4832 | 2010-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| 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 |
|---|---|---|---|---|
| 1750682191 | Betty Ann Strach | Marriage & Family Therapist | 55 1st St Ste D310, Lakeport, CA 95453-4839 | 2010-11-16 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1710176276 | Barbara Ann Warner | Marriage & Family Therapist | 991 Parallel Drive, Lakeport, CA 95453-8106 | 2007-10-22 |
| 1255542734 | Carol Mills Craig | Marriage & Family Therapist | 55 1st St, #221, Lakeport, CA 95453-4839 | 2007-05-25 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| 1952429052 | Annette Joyce Moynier | Marriage & Family Therapist | 1152 South Main Street, Lakeport, CA 95453 | 2007-03-27 |
| 1801948914 | Mark Stephen Loebs | Marriage & Family Therapist | 380 N Main St #a, Lakeport, CA 95453 | 2007-01-17 |
| 1265591085 | Jacquline Gail Smythe | Marriage & Family Therapist | 55 1st St # 305i, Lakeport, CA 95453-4839 | 2006-12-07 |
| 1083773097 | June Marie Wilson-clarkin | Marriage & Family Therapist | 200 N Main St Ste-a, Lakeport, CA 95453-4832 | 2006-12-06 |
| Find all providers in LAKEPORT | ||||
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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.