JOHNNATHAN VILLANUEVA (NPI# 1528449105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528449105 |
| Entity Type | Individual |
| Full Name | JOHNNATHAN VILLANUEVA |
| Practice Address |
343 S 8th St Ste. A El Centro CA 92243-2903 |
| Practice Telephone | 7603536151 |
| Practice Fax Number | 7603536152 |
| Mailing Telephone | 7603536151 |
| Mailing Fax Number | 7603536152 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| 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 |
343 S 8TH ST STE. A |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174842652 | Ricardo Escobedo Jr. | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2010-05-24 |
| 1710366489 | Emmanuel Munoz | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2015-05-27 |
| 1811376635 | Maggie Zhu | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2015-05-26 |
| 1356746523 | John Derick Chavez | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2014-10-29 |
| 1609279173 | Kris Vaughn Baker | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2014-09-29 |
| 1245662329 | Ulises Cardenas | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2013-07-31 |
| 1629400700 | Ana Sheila Esquivel | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2013-07-31 |
| 1053673384 | Crystal Cortez | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2012-06-12 |
| 1174884118 | Ivan Cardenas | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2012-06-06 |
| 1306104831 | Marcela Andrea Verdugo | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2012-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
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| 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 |
|---|---|---|---|---|
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1073144283 | Bianca M Vasquez | Counselor | 459 E Orange Ave, El Centro, CA 92243-2744 | 2020-01-28 |
| 1174048680 | Cancer Resource Center of The Desert | Counselor | 444 S 8th St Ste B3, El Centro, CA 92243-3236 | 2017-08-04 |
| 1427578244 | Elizabeth Martinez | Counselor | 495 E Orange Ave., El Centro, CA 92243 | 2017-06-22 |
| 1497207245 | Fred Finch Youth Center Cares Inc | Counselor | 1413 W State St, El Centro, CA 92243-2834 | 2016-10-27 |
| 1780045369 | Julie Luna | Counselor | 220 N 8th St., El Centro, CA 92243 | 2016-03-10 |
| 1770912008 | Ricardoo Valenzuela | Counselor | 198 Ocotillo Dr, El Centro, CA 92243-4589 | 2013-11-07 |
| 1508204082 | Valley Psychological Center | Counselor | 1850 W Main St, Suite B, El Centro, CA 92243-2198 | 2013-06-06 |
| 1174842652 | Ricardo Escobedo Jr. | Counselor | 343 S 8th St, Ste. A, El Centro, CA 92243-2903 | 2010-05-24 |
| 1396071585 | Cynthia Dalila Gutierrez | Counselor | 1295 W State St Ste 101, El Centro, CA 92243-2881 | 2009-10-23 |
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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.