KORESH JAFFA ADAMS (NPI# 1518006022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518006022 |
Entity Type | Individual |
Full Name | KORESH JAFFA ADAMS |
Practice Address |
171 Dutton Ave San Leandro CA 94577-2840 |
Mailing Address |
171 Dutton Ave San Leandro CA 94577 |
Practice Telephone | 5104533330 |
Mailing Telephone | 5104533330 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
171 DUTTON AVE |
City | SAN LEANDRO |
State | CA |
Zip Code | 94577-2840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
Find all providers in zip 94577 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
1578055208 | Mary Lee | Counselor | 81 Dabner St, San Leandro, CA 94577-1423 | 2018-05-30 |
1922414945 | Melissa Stevens | Counselor | 13847 E 14th St Ste 205, San Leandro, CA 94578-2626 | 2014-07-10 |
1174872667 | Ardra Dion Taylor | Counselor | 525 Lafayette Ave, San Leandro, CA 94577-2715 | 2012-08-30 |
1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
1447488937 | Rosaura Yesenia Zelaya | Counselor | 500 Davis St Ste 120, San Leandro, CA 94577-2759 | 2009-06-23 |
1912159906 | Tatiana Geneva Stewart | Counselor | 1057 Macarthur Blvd Ste 208, San Leandro, CA 94577-3014 | 2008-10-21 |
1215126214 | Tamia Kimadaa Bright | Counselor | 114 Garcia Ave, San Leandro, CA 94577-1714 | 2007-10-16 |
1710017553 | Dana Toscano | Counselor | 2275 Arlington Dr., San Leandro, CA 94578 | 2007-03-07 |
1306987961 | Larry Ellerbee | Counselor | 15699 Baypoint Ave, San Leandro, CA 94579-2794 | 2007-02-08 |
Find all providers in SAN LEANDRO |
City | SAN LEANDRO |
Zip Code | 94577 |
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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.