MR. JOSEPH SIEGFRIED KRZESNI (NPI# 1487604807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487604807 |
Entity Type | Individual |
Full Name | MR. JOSEPH SIEGFRIED KRZESNI |
Credential | LMFT |
Practice Address |
3960 Walnut Dr Eureka CA 95503-8939 |
Mailing Address |
5128 Walnut Dr Eureka CA 95503-6550 |
Practice Telephone | 7074441464 |
Practice Fax Number | 7074441464 |
Mailing Telephone | 7074441464 |
Mailing Fax Number | 7074441464 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | MFC 12264 | CA | Behavioral Health & Social Service Providers |
Street Address |
3960 WALNUT DR |
City | EUREKA |
State | CA |
Zip Code | 95503-8939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811503147 | Ashlee Gresham | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-09-22 |
1942813571 | Guadalupe Reynosa | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-08-24 |
1750917704 | Logan White | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-03-20 |
1841826344 | Spotted Elk Zumwalt | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-03-16 |
1831725332 | Katherine Brust | Counselor | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-03-16 |
1871125567 | Danielle Welch | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-02-10 |
1821620980 | Bailey Dawson | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-02-06 |
1205475316 | Gilberto Martinez | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2020-01-06 |
1902442932 | Delacy Fletcher | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2019-11-25 |
1912543935 | Deandra Thomas | Case Manager/Care Coordinator | 3960 Walnut Dr, Eureka, CA 95503-8938 | 2019-11-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
Find all providers in zip 95503 |
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 |
---|---|---|---|---|
1366918765 | Kaylyn Paige Seamands | Marriage & Family Therapist | 350 E St Ste 405, Eureka, CA 95501-0352 | 2018-10-23 |
1548741689 | Dylan Cimbura-hernandez | Marriage & Family Therapist | 18 Minette Ln, Eureka, CA 95503-8534 | 2018-08-27 |
1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
1275982829 | Monica Hubbard | Marriage & Family Therapist | 3172 Walford Ave Ste 6, Eureka, CA 95503-4897 | 2016-06-05 |
1124360284 | Eric Forest Wilcox | Marriage & Family Therapist | 134 D St Fl 3, Eureka, CA 95501-0455 | 2013-03-26 |
1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
1346534393 | Jacob Sparks | Marriage & Family Therapist | 77 Trails End Rd, Eureka, MT 59917 | 2011-06-07 |
1962792242 | Tamara Leigh Severn | Marriage & Family Therapist | 3015 Hubbard Ln Ste 3, Eureka, CA 95501 | 2011-04-07 |
1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
1659552917 | Kim Ann Moor | Marriage & Family Therapist | 3009 Hubbard Ln Ste C, Eureka, CA 95501 | 2007-11-15 |
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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.