JENNA KERLER (NPI# 1568839926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568839926 |
Entity Type | Individual |
Full Name | JENNA KERLER |
Practice Address |
22 San Pablo Ave Apt 2 San Rafael CA 94903-4122 |
Practice Telephone | 4157479669 |
Mailing Telephone | 4157479669 |
Enumeration Date | 2015-09-01 |
Last Update Date | 2015-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
K1305171109 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | C4415624 | 05 |
Street Address |
22 SAN PABLO AVE APT 2 |
City | SAN RAFAEL |
State | CA |
Zip Code | 94903-4122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
Find all providers in zip 94903 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912542457 | Stephen Lochrane Prince | Counselor | 10 N San Pedro Rd Ste 1015, San Rafael, CA 94903-4155 | 2019-11-07 |
1912463332 | Jenna Roth Ring | Counselor | 1005 Northgate Dr # 115, San Rafael, CA 94903-2500 | 2019-02-11 |
1194263228 | Daron Austin | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-02-09 |
1427507789 | Full Circle Addiction and Recovery Services | Counselor | 1104 Lincoln Ave, San Rafael, CA 94901-3245 | 2016-09-28 |
1750744637 | Karen Witt | Counselor | 110 Plymouth Cv, San Rafael, CA 94901-4461 | 2016-03-30 |
1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
1912367236 | Felipe Perez | Counselor | 710 C Street, Suite 7, San Rafael, CA 94901 | 2016-02-29 |
1598159790 | James Paul Goss IIi | Counselor | 1005 A St Ste 209, San Rafael, CA 94901-3127 | 2015-03-25 |
1053702787 | Marin Outpatient Recovery Services | Counselor | 11 Albion St, San Rafael, CA 94901-5201 | 2015-02-17 |
1245506583 | Dennis Franklin Mccray | Counselor | 135 Paul Dr, San Rafael, CA 94903-2023 | 2012-03-30 |
Find all providers in SAN RAFAEL |
City | SAN RAFAEL |
Zip Code | 94903 |
Please comment or provide details below to improve the information on JENNA KERLER.
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.