JENNIFER MORENO (NPI# 1447749460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447749460 |
| Entity Type | Individual |
| Full Name | JENNIFER MORENO |
| Credential | BA |
| Practice Address |
1650 Spruce St Riverside CA 92507-7402 |
| Mailing Address |
14742 Orchid Ave Fontana CA 92335-4263 |
| Practice Telephone | 7606341125 |
| Mailing Telephone | 9097148109 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924993 | Jennifer Moreno | Case Manager/Care Coordinator | 1027 Havendale Dr, Columbus, OH 43220-5028 | 2018-12-21 |
| 1033439468 | Jennifer Gayle Moreno | Registered Nurse | 10384 Frank Ln, Santee, CA 92071-2722 | 2010-06-08 |
| 1508079203 | Jennifer Moreno | Speech-Language Pathologist | 930 Lobster Ln, Key Largo, FL 33037-3860 | 2007-05-08 |
| 1629604269 | Jennifer Gene Moreno | Behavior Technician | 7000 Nw 100 Dr Ste B100, Houston, TX 77092-2051 | 2020-03-16 |
| 1093203432 | Jennifer Moreno | Pharmacist | 1581 Austin Hwy, San Antonio, TX 78218-1708 | 2018-05-01 |
| 1083087605 | Jennifer Marie Moreno | Physician Assistant | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2015-11-04 |
| 1508131855 | Jennifer Lynn Moreno | Social Worker | 21425 Spring St, Union Grove, WI 53182-9707 | 2012-03-20 |
| 1649441007 | Jennifer Jill Moreno | Occupational Therapist | 4560 Se International Way, Suite 100 Consonus Rehab Services, Milwaukie, OR 97222 | 2008-03-13 |
| Street Address |
1650 SPRUCE ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740797067 | Riza Loreine Peralta Callejas | Community/Behavioral Health | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-01-09 |
| 1639776800 | Maya Hernandez | Behavior Technician | 1650 Spruce St, Riverside, CA 92507-7402 | 2020-10-01 |
| 1487264354 | Jailene Sandoval | Behavior Technician | 1650 Spruce St, Riverside, CA 92507-7402 | 2020-08-05 |
| 1720614522 | Taylor Phillips | Behavior Technician | 1650 Spruce St, Riverside, CA 92507-7402 | 2020-03-12 |
| 1720611494 | Alison Leigh Owen | Behavior Technician | 1650 Spruce St, Riverside, CA 92507-7402 | 2020-02-20 |
| 1013475359 | Ashley Varela | Behavior Technician | 1650 Spruce St, Riverside, CA 92507-7402 | 2019-03-06 |
| 1053894683 | Sydney Melendez | Behavior Technician | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-09-10 |
| 1770073314 | Olivia Marie Luna | Community/Behavioral Health | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-05-18 |
| 1295230555 | Kaitlyn Suha | Community/Behavioral Health | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-03-28 |
| 1245748193 | Cadence P Loney | Community/Behavioral Health | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1568098242 | Youth Enterprise, Inc. | Community/Behavioral Health | 8308 Yarrow Ln, Riverside, CA 92508-2923 | 2020-03-13 |
| 1659928752 | Social Resources Connection Inc | Community/Behavioral Health | 5005 La Mart Dr Ste 100b3, Riverside, CA 92507-8902 | 2019-08-22 |
| 1215418165 | Olive Crest | Community/Behavioral Health | 525 Technology Ct Ste 102, Riverside, CA 92507-2181 | 2018-08-28 |
| 1710466487 | Hayley Victoria De La Torre | Community/Behavioral Health | 7622 Saint Andrews Dr, Riverside, CA 92508-6099 | 2018-08-13 |
| 1982197547 | Citrus Crest Family Counseling Inc. | Community/Behavioral Health | 16801 Van Buren Blvd Ste 214, Riverside, CA 92504-5893 | 2018-06-08 |
| 1316440464 | Coryne Poole | Community/Behavioral Health | 4555 Pine St Apt 2b, Riverside, CA 92501-4034 | 2018-03-15 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1255849675 | County of Riverisde | Community/Behavioral Health | 1820 University Avenue, Riverside, CA 92507-5355 | 2018-01-19 |
| 1740797067 | Riza Loreine Peralta Callejas | Community/Behavioral Health | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-01-09 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on JENNIFER MORENO.
| 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.