MS. LAUREEN ANNE WIERENGA (NPI# 1609919489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609919489 |
| Entity Type | Individual |
| Full Name | MS. LAUREEN ANNE WIERENGA |
| Credential | CAADE |
| Practice Address |
14660 Oxnard St. Van Nuys CA 91411 |
| Mailing Address |
14660 Oxnard St Van Nuys CA 91411-3119 |
| Practice Telephone | 8189014836 |
| Practice Fax Number | 8183760044 |
| Mailing Telephone | 8189014836 |
| Mailing Fax Number | 8183760044 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | 970217 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14660 OXNARD ST. |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
| 1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
| 1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
| 1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
| 1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
| 1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
| Find all providers in zip 91411 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1235601014 | Katherine Buckley | Rehabilitation Practitioner | 5900 Sepulveda Blvd Ste 104, Van Nuys, CA 91411-2511 | 2018-12-18 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1578050290 | Keren Khait | Rehabilitation Practitioner | 6501 Van Nuys Blvd # 103, Van Nuys, CA 91401-1425 | 2018-04-18 |
| 1083115844 | Stephanie Kurowski | Rehabilitation Practitioner | 14515 Hamlin St Ste 201, Van Nuys, CA 91411-1608 | 2018-02-26 |
| 1902328693 | Jeffrey Kohn | Rehabilitation Practitioner | 14600 Sherman Way Ste 100-d, Van Nuys, CA 91405-2283 | 2017-07-13 |
| 1497286025 | Jessenia Tovar | Rehabilitation Practitioner | 16650 Sherman Way Ste 200, Van Nuys, CA 91406-3782 | 2017-03-24 |
| 1841730504 | Maria Montoya | Rehabilitation Practitioner | 6330 Halbrent Ave, Van Nuys, CA 91411-1914 | 2017-02-28 |
| 1013460427 | Lizbeth Avila | Rehabilitation Practitioner | 8133 Sepulveda Blvd, 103, Van Nuys, CA 91402-4345 | 2016-08-02 |
| Find all providers in VAN NUYS | ||||
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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.