ANNA ERAQUIN NELSON (NPI# 1598165003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598165003 |
| Entity Type | Individual |
| Full Name | ANNA ERAQUIN NELSON |
| Credential | ASW |
| Practice Address |
1800 Gravenstein Hwy N Sebastopol CA 95472 |
| Mailing Address |
1800 Gravenstein Hwy N Sebastopol CA 95472-2607 |
| Practice Telephone | 7072934325 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 81521 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Gravenstein Hwy N, Sebastopol, CA 95472 | 7072934325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727650 | Anna Nelson | Student in an Organized Health Care Education/Training Program | 550 S Jackson St # A3k00, Louisville, KY 40202-1622 | 2020-03-28 |
| 1750688263 | Anna Dora Nelson | Counselor | 1216 N Tyler Ct, Lafayette, OR 97127-9246 | 2011-02-17 |
| 1578524450 | Anna Marie Nelson | Licensed Practical Nurse | 4101 Washington Ave, Newport News, VA 23607-2734 | 2006-03-30 |
| 1407351901 | Anna Marie Nelson | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2018-03-27 |
| 1659824993 | Anna Rosalene Nelson | Social Worker | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2016-08-03 |
| 1437525045 | Anna Nelson | Physical Therapist | 1818 N State St, Greenfield, IN 46140-1086 | 2015-08-18 |
| 1841677341 | Anna Nelson | Pediatrics | 3125 Matlock Rd, Suite 108, Arlington, TX 76015-2920 | 2015-05-04 |
| 1346645272 | Anna Nelson | Speech-Language Pathologist | 320 11th Ave S, Nampa, ID 83651-5073 | 2014-11-04 |
| 1255694642 | Anna Cecelia Nelson | Nurse Practitioner | 125 Business Park Dr, Suite 150, Utica, NY 13502-6304 | 2012-06-20 |
| 1477829216 | Anna Maguire Nelson | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, Dept Emergency Medicine - Cdw-em, Portland, OR 97239-3011 | 2012-03-27 |
| Street Address |
1800 GRAVENSTEIN HWY N |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639226814 | Tlc Child and Family Services | Clinic/Center | 1800 Gravenstein Hwy N, Bldg A - E, Sebastopol, CA 95472-2607 | 2007-01-03 |
| 1053926766 | Mary Peterson | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2020-09-10 |
| 1588206437 | Melissa Salini | Social Worker | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2019-10-11 |
| 1417446543 | Anna Vittoria Frattolillo | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-05-03 |
| 1700374147 | Melissa Coello | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-05-01 |
| 1619473295 | Elizabeth Barone | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-04-03 |
| 1720536329 | Lawrence Segrue | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-09-13 |
| 1053867739 | Heather Tidrick | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-08-31 |
| 1285095638 | Nima Saalabi | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-03-14 |
| 1770985558 | Aimee Fouche | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| 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 |
|---|---|---|---|---|
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1013303809 | Sara Champie | Counselor | 435 Petaluma Ave Ste 140, Sebastopol, CA 95472-4273 | 2015-04-08 |
| 1366843849 | Shanti Hill-gauer | Counselor | 3696 Burnside Rd, Sebastopol, CA 95472-9141 | 2014-09-15 |
| 1326392234 | Benjamin John Gustin | Counselor | 6741 Sebastopol Ave Ste 160, Sebastopol, CA 95472-3857 | 2012-10-30 |
| 1780156513 | Xochiquetzal Carmela Lubin-amaya | Counselor | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2018-12-18 |
| 1619473295 | Elizabeth Barone | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-04-03 |
| 1053867739 | Heather Tidrick | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-08-31 |
| 1982012779 | Ally Shamseldin | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472 | 2014-07-24 |
| 1518374867 | Brittany Ann Burns | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472 | 2014-07-18 |
| 1083040935 | Rachel Fauve Carr | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2013-09-24 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
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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.