HEIDI DIEBEL (NPI# 1609335314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609335314 |
| Entity Type | Individual |
| Full Name | HEIDI DIEBEL |
| Credential | LMFT |
| Practice Address |
9291 Oak Trail Cir Santa Rosa CA 95409 |
| Mailing Address |
9291 Oak Trail Cir Santa Rosa CA 95409-6164 |
| Practice Telephone | 6507732608 |
| Mailing Telephone | 6507732608 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 111782 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9291 OAK TRAIL CIR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| 1649590522 | Brigid S. Ryan | Marriage & Family Therapist | 4525 Montgomery Dr, Ste 14, Santa Rosa, CA 95409 | 2010-06-02 |
| Find all providers in zip 95409 | ||||
| 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 |
|---|---|---|---|---|
| 1386269918 | Debra Gold | Marriage & Family Therapist | 835 Piner Rd, Santa Rosa, CA 95403-2063 | 2020-06-09 |
| 1619590700 | Cameron Craig Lutchansky | Marriage & Family Therapist | 2235 Mercury Way Ste 240, Santa Rosa, CA 95407-5443 | 2020-05-22 |
| 1689294498 | Pamela Jo Peringer | Marriage & Family Therapist | 2345 Morningside Cir, Santa Rosa, CA 95405-9132 | 2020-04-22 |
| 1467004028 | Megan Barajas | Marriage & Family Therapist | 3440 Mendocino Ave, Santa Rosa, CA 95403-2221 | 2019-07-14 |
| 1275193674 | Marie Romano | Marriage & Family Therapist | 3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274 | 2019-06-18 |
| 1851956932 | Amy Theodore | Marriage & Family Therapist | 2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 95404-5667 | 2019-05-05 |
| 1114413952 | Jordan Morrison | Marriage & Family Therapist | 1260 N Dutton Ave Ste 230, Santa Rosa, CA 95401-7161 | 2018-07-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1174012710 | Humanidad Therapy and Education Services | Marriage & Family Therapist | 95 Montgomery Dr Ste 112, Santa Rosa, CA 95404-6617 | 2018-05-09 |
| 1659860641 | North Bay Child and Family Counseling, Inc. | Marriage & Family Therapist | 3436 Mendocino Ave Ste B, Santa Rosa, CA 95403-2275 | 2018-05-04 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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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.