IVY ERICKSON (NPI# 1477924934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477924934 |
| Entity Type | Individual |
| Full Name | IVY ERICKSON |
| Credential | MFTI |
| Practice Address |
1400 N Norma St Suite 127-133 Ridgecrest CA 93555-2575 |
| Practice Telephone | 7604997406 |
| Practice Fax Number | 7604999259 |
| Mailing Telephone | 7604997406 |
| Mailing Fax Number | 7604999259 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2016-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 94992 MFTI | CA | Behavioral Health & Social Service Providers |
| Street Address |
1400 N NORMA ST SUITE 127-133 |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689725525 | Harmoney D Stukes | Licensed Vocational Nurse | 1400 N Norma St, Suite 133, Ridgecrest, CA 93555-2575 | 2007-01-16 |
| 1972115947 | Mariela Germann | Peer Specialist | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2020-08-20 |
| 1750926788 | Tanya Marie Fastnacht | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-11-13 |
| 1457902637 | Carolina Lopez Roura | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-09-27 |
| 1801444823 | Yovanny Miranda | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-09-03 |
| 1164088506 | Tanya Renee Winst0n | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2019-05-10 |
| 1801370739 | Nikki Dawn Gardepe | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2018-09-17 |
| 1326546383 | Yvette Pringle Cook | Counselor | 1400 N Norma St, Ridgecrest, CA 93555 | 2018-01-24 |
| 1366950172 | Jeffrey Paul Puckett | Case Manager/Care Coordinator | 1400 N Norma St, Ridgecrest, CA 93555-2575 | 2018-01-15 |
| 1851825657 | Christy Binder | Counselor | 1400 N Norma St, St # 133, Ridgecrest, CA 93555-2575 | 2017-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| 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 |
|---|---|---|---|---|
| 1639337512 | Nancy Ball | Marriage & Family Therapist | 1533 North Downs Street, Ridgecrest, CA 93555 | 2008-05-28 |
| 1417134123 | Genesis Counseling Service | Marriage & Family Therapist | 1201 N China Lake Blvd, Ridgecrest, CA 93555-2660 | 2008-01-24 |
| 1942412077 | Susan Knepp Logan | Marriage & Family Therapist | 1201 N. China Lake Blvd., Ridgecrest, CA 93555 | 2007-05-03 |
| 1669504700 | Stephen Fine | Marriage & Family Therapist | 350 E Ridgecrest Blvd, Ridgecrest, CA 93555-3928 | 2007-03-12 |
| 1164590451 | Lori Lyn Weidner-alvarez | Marriage & Family Therapist | 1615 N Downs St, Suite B, Ridgecrest, CA 93555-2429 | 2006-12-04 |
| 1245253848 | Robert James Huey | Marriage & Family Therapist | 501 Atkins St, Ridgecrest, CA 93555-2501 | 2006-07-25 |
| 1174553887 | Dianne Davis Braithwaite | Marriage & Family Therapist | 909 W Inyokern Rd, Suite A, Ridgecrest, CA 93555-5621 | 2006-07-05 |
| 1346727252 | Tiffany Marie Lewis | Marriage & Family Therapist | 1201 N China Lake Blvd, Ridgecrest, CA 93555-2660 | 2018-07-24 |
| 1689161341 | Deric Thomas Placker | Marriage & Family Therapist | 1400 N Norma St Ste 133, Ridgecrest, CA 93555-2577 | 2018-04-18 |
| 1861805186 | Elizabeth Corrine Moss-hunter | Marriage & Family Therapist | 501 Atkins St, Ridgecrest, CA 93555-2501 | 2014-06-04 |
| Find all providers in RIDGECREST | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
Please comment or provide details below to improve the information on IVY ERICKSON.
| 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.