MS. JENNIFER LYNN ABRAHAM (NPI# 1417580739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417580739 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN ABRAHAM |
| Practice Address |
7200 Bancroft Ave Ste 125c Oakland CA 94605-2454 |
| Practice Telephone | 5103835118 |
| Practice Fax Number | 5103835117 |
| Mailing Telephone | 5103835119 |
| Mailing Fax Number | 5103835117 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173803 | Jennifer Abraham | Occupational Therapist | 653 Drexel Rd, Paramus, NJ 07652-4907 | 2020-08-02 |
| 1275178436 | Jennifer A Abraham | Social Worker | 135 Rocky Hill Rd, Plymouth, MA 02360-5524 | 2019-11-12 |
| 1194121657 | Jennifer V Abraham | Physician Assistant | 3433 Warren Farm Dr, Fort Collins, CO 80526-6344 | 2014-11-11 |
| 1295944619 | Jennifer Abraham | Dentist | 193 Green Bay Rd, Thiensville, WI 53092-1603 | 2007-05-22 |
| 1285650259 | Jennifer Jane Abraham | Internal Medicine | 3838 San Dimas St Ste A100, Bakersfield, CA 93301-2286 | 2006-07-14 |
| 1184175127 | Jennifer Abraham | Social Worker | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2016-10-14 |
| 1801235379 | Jennifer Abraham | Pharmacist | 117 E Live Oak Ave, Arcadia, CA 91006-5269 | 2013-06-18 |
| 1063796662 | Jennifer Ann Abraham | Pharmacist | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2011-10-01 |
| 1558650564 | Jennifer Alphonso Abraham | Psychologist | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2011-03-30 |
| 1699092320 | Jennifer Abraham | Residential Treatment Facility, Emotionally Disturbed Children | 4601 N I-35, Denton, TX 76207-3419 | 2010-04-20 |
| Street Address |
7200 BANCROFT AVE STE 125C |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205996113 | Mai L Bishop | Marriage & Family Therapist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2006-12-11 |
| 1184199960 | Roxanne Marie Simond | Counselor | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2018-10-09 |
| 1528597531 | Latonya Evette Carpenter | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2017-06-05 |
| 1013460054 | Leslie Santiago | Counselor | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2016-07-26 |
| 1871960625 | Veronica Shuan Mc Manus | Peer Specialist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2015-08-27 |
| 1912336587 | Jennifer Ling | Social Worker | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2013-11-05 |
| 1336329366 | Sabrina Flores | Social Worker | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2007-11-07 |
| 1134313752 | Kimberly Prates | Social Worker | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2007-08-28 |
| 1992906796 | Andrea Denise Beil | Marriage & Family Therapist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2415 | 2007-05-30 |
| 1871703884 | Michelle Marie Sepulveda | Social Worker | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2415 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508496647 | Kendall Testa | Peer Specialist | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-01-16 |
| 1700447893 | Sathya Baskaran | Peer Specialist | 3800 Coolidge Ave, Oakland, CA 94602-3399 | 2019-06-27 |
| 1568926319 | Sherri Lee Millick | Peer Specialist | 280 17th St, Oakland, CA 94612-4124 | 2019-01-25 |
| 1861966103 | Natasha Mcmillan | Peer Specialist | 280 17th St, Oakland, CA 94612-4124 | 2019-01-21 |
| 1295282200 | Leeanna Mayoral | Peer Specialist | 7200 Bancroft Ave, 125-c, Oakland, CA 94605-2403 | 2016-09-07 |
| 1871960625 | Veronica Shuan Mc Manus | Peer Specialist | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2454 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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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.