MR. RICHARD JOHN HALVERSON-MUENZER (NPI# 1588868723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588868723 |
| Entity Type | Individual |
| Full Name | MR. RICHARD JOHN HALVERSON-MUENZER |
| Credential | LMFT |
| Practice Address |
631 S Orchard Ave Ukiah CA 95482-5011 |
| Mailing Address |
3940 Weimer Way Lakeport CA 95453-6365 |
| Practice Telephone | 7074722922 |
| Mailing Telephone | 8312344412 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
102852 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 102852 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BBS | 102852 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3940 Weimer Way, Lakeport, CA 954536365 | 7073490883 | |
| 55 1st St Ste 101, Lakeport, CA 954534839 | 7073490883 |
| Street Address |
631 S ORCHARD AVE |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255478442 | Harvey Baumoel | Case Manager/Care Coordinator | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2007-01-30 |
| 1952911554 | Glenn Limosnero | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1134739766 | Miles Ruttinger | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1972135523 | Randy Owen | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-02-11 |
| 1396392932 | Shelley Mccoy | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2019-08-19 |
| 1134787344 | Dusty Stokes | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2019-06-03 |
| 1801367727 | Chelsea Delvecchio | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2018-12-17 |
| 1295268217 | Andre Epstein | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2017-04-06 |
| 1881043776 | Alissa L. Davis-ku | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-06-10 |
| 1386004679 | Jeremy Livingston | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| 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 |
|---|---|---|---|---|
| 1164076972 | Margaret Kohout | Marriage & Family Therapist | 169 Mason St Ste 200, Ukiah, CA 95482-4483 | 2019-07-30 |
| 1831557651 | Scott D. Altamirano | Marriage & Family Therapist | 1120 W Church St, Ukiah, CA 95482-4603 | 2016-02-08 |
| 1407289218 | Trinity Sage Hart | Marriage & Family Therapist | 525 S Main St Ste C, Ukiah, CA 95482-4960 | 2013-08-15 |
| 1114170727 | Jeremy Owen Lawyer | Marriage & Family Therapist | 206 Mason St Ste E, Ukiah, CA 95482 | 2008-10-28 |
| 1699982074 | Carol Ann Azzaro | Marriage & Family Therapist | 359 N Oak St, Ukiah, CA 95482-4302 | 2007-05-16 |
| 1235359894 | Yvette R Hinojosa | Marriage & Family Therapist | 705 N State St # 130, Ukiah, CA 95482-3407 | 2007-04-26 |
| 1326265901 | Jorge De Cecco | Marriage & Family Therapist | 860 N. Bush Street, Ukiah, CA 95482 | 2007-04-18 |
| 1356565667 | David Wilbur Covey | Marriage & Family Therapist | 586 Stella Dr, Ukiah, CA 95482-4524 | 2007-04-11 |
| 1881723849 | Christine Price | Marriage & Family Therapist | 216 West Perkins St, Ste 205, Ukiah, CA 95482-4859 | 2007-03-05 |
| 1194854745 | Kelly A Lay-raitt | Marriage & Family Therapist | 237 E Gobbi St, Ukiah, CA 95482-5551 | 2007-03-02 |
| Find all providers in UKIAH | ||||
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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.