MRS. YELENA ZAITSEVA LAVENDER (NPI# 1447638044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447638044 |
Entity Type | Individual |
Full Name | MRS. YELENA ZAITSEVA LAVENDER |
Other Name | MS. YELENA ZAITSEVA PAIGE |
Credential | LCSW74244 |
Practice Address |
455 K Street Crescent City CA 95531 |
Mailing Address |
455 K St Crescent City CA 95531-4107 |
Practice Telephone | 7079514317 |
Mailing Telephone | 7074647224 |
Enumeration Date | 2015-05-14 |
Last Update Date | 2016-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 101YM0800X | 05 |
Street Address |
455 K STREET |
City | CRESCENT CITY |
State | CA |
Zip Code | 95531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
1679753198 | Helene Beatrice-lia Bruno | Marriage & Family Therapist | 875 5th St #5, Cresent City, CA 95531 | 2007-11-13 |
Find all providers in zip 95531 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
1700117447 | Dave Reach | Counselor | 343 G St, Crescent City, CA 95531-4014 | 2010-01-20 |
1497853444 | Pauline Mary Holmes | Counselor | 510 E Washington Blvd, Crescent City, CA 95531-8342 | 2006-09-20 |
1801429436 | Jennifer Jo Dutton | Counselor | 455 K St, Crescent City, CA 95531-4107 | 2020-02-21 |
1124664446 | Kayla Jean Penner | Counselor | 370 9th St, Crescent City, CA 95531-3432 | 2019-11-21 |
1649821513 | Marcus T Padilla | Counselor | 455 K St, Crescent City, CA 95531-4107 | 2019-09-23 |
1801446646 | Wendy Fullerton | Counselor | 370 9th St, Crescent City, CA 95531-3432 | 2019-09-13 |
1871149088 | Craig Leland Powell | Counselor | 370 9th St, Crescent City, CA 95531-3432 | 2019-08-13 |
1083268726 | Ger Xiong | Counselor | 370 9th St, Crescent City, CA 95531-3432 | 2019-07-31 |
1225696750 | Sheila Jean Davis | Counselor | 455 K St, Crescent City, CA 95531-4107 | 2019-05-30 |
Find all providers in CRESCENT CITY |
City | CRESCENT CITY |
Zip Code | 95531 |
Please comment or provide details below to improve the information on MRS. YELENA ZAITSEVA LAVENDER.
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.