ANTELOPE VALLEY MENTAL HEALTH CLINIC (NPI# 1629256524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629256524 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY MENTAL HEALTH CLINIC |
| Practice Address |
349 E Avenue K6 Ste A Lancaster CA 93535-4548 |
| Practice Telephone | 6617234260 |
| Practice Fax Number | 6617236975 |
| Mailing Telephone | 6617234260 |
| Mailing Fax Number | 6617236975 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MR. MARTIN JONES JR. (PROGRAM HEAD) |
| Authorized Official Telephone | 6617234260 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC29538 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295903425 | Antelope Valley Mental Health Clinic | Case Manager/Care Coordinator | 349a E Avenue K6, Lancaster, CA 93535-4548 | 2008-02-11 |
| Street Address |
349 E AVENUE K6 STE A |
| City | LANCASTER |
| State | CA |
| Zip Code | 93535-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245372325 | John H Robles | Counselor | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2007-02-13 |
| 1427680644 | Malvinder Kaur | Registered Nurse | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2020-02-05 |
| 1083257836 | Edward Ghoogasian | Registered Nurse | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2019-10-24 |
| 1891350682 | Emilie Ellen Kelly | Community Health Worker | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2019-05-07 |
| 1578066247 | Krista Mortellaro | Social Worker | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2018-03-08 |
| 1629500574 | Barbara Hanke | Counselor | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2017-03-30 |
| 1518405158 | Alexis Marieanne Asatourian | Social Worker | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2017-02-02 |
| 1083156129 | Diana Ojeda | Counselor | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2016-11-07 |
| 1396104816 | Samantha Conner | Social Worker | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2016-02-11 |
| 1679955108 | Jennifer Castaneda | Social Worker | 349 E Avenue K6 Ste A, Lancaster, CA 93535-4548 | 2015-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464793 | Lovernie Arenque Pilarca | Technician | 42952 Yaffa St, Lancaster, CA 93535 | 2019-08-27 |
| 1528565934 | Danelly Luna | Behavioral Analyst | 340 E Avenue Suite 101, Lancaster, CA 93535 | 2018-04-11 |
| 1841791456 | Mary Sowah-quaye | Social Worker | 1326 East Cambridge Court, Lancaster, CA 93535 | 2018-02-28 |
| 1497272231 | Monica Arellano | Behavioral Analyst | 40526 176th St. E, Lancaster, CA 93535 | 2017-08-23 |
| 1679920227 | Kristina Doronila Gaddi | Licensed Vocational Nurse | 1308 East Cambridge Ct, Lancaster, CA 93535 | 2016-05-24 |
| 1558720839 | Eric Washington | Student in an Organized Health Care Education/Training Program | 43625 San Francisco Ave., Lancaster, CA 93535 | 2016-02-16 |
| 1215309935 | Anita Maria Hill | Registered Nurse | 44545 3rd Street E., Lancaster, CA 93535 | 2015-10-21 |
| 1538568548 | Roman Flores | Marriage & Family Therapist | 43520 Division St., Lancaster, CA 93535 | 2014-08-14 |
| 1083045496 | Wanda Elaine Smith | Assisted Living Facility | 1046 E. Lancaster Blvd, Lancaster, CA 93535 | 2013-12-11 |
| 1841624046 | Jennifer Lagare Hagerty | Nurse Practitioner | 335 East Avenue I, Lancaster, CA 93535 | 2013-08-25 |
| Find all providers in zip 93535 | ||||
| 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 |
|---|---|---|---|---|
| 1932726585 | Tina Ross | Marriage & Family Therapist | 1804 Harlow Ct, Lancaster, CA 93534-5140 | 2020-06-30 |
| 1689205445 | Help for Heroes | Marriage & Family Therapist | 104 E Avenue K4 Ste B, Lancaster, CA 93535-4678 | 2020-01-30 |
| 1346889698 | Nancy Marie Miller | Marriage & Family Therapist | 1429 N Bluegrove Rd, Lancaster, TX 75134-2937 | 2020-01-04 |
| 1942867098 | Megan Marie Malick | Marriage & Family Therapist | 342 N Queen St, Lancaster, PA 17603-3072 | 2019-05-23 |
| 1417414772 | Ashley Himmelstern | Marriage & Family Therapist | 815 W Lancaster Blvd Ste 115, Lancaster, CA 93534-2303 | 2019-02-22 |
| 1083152870 | Juline Hobson | Marriage & Family Therapist | 2010 W Avenue K # V112, Lancaster, CA 93536-5229 | 2017-02-01 |
| 1710376637 | Lina Vielma | Marriage & Family Therapist | 43423 Division St Ste 401, Lancaster, CA 93535-4641 | 2015-01-15 |
| 1538568548 | Roman Flores | Marriage & Family Therapist | 43520 Division St., Lancaster, CA 93535 | 2014-08-14 |
| 1134545445 | Jeff Bare LLC | Marriage & Family Therapist | 600 Olde Hickory Rd, Suite 220, Lancaster, PA 17601-4959 | 2014-03-11 |
| 1609135060 | Maricela Reyes | Marriage & Family Therapist | 314 E Avenue K4, Lancaster, CA 93535-4689 | 2012-05-04 |
| Find all providers in LANCASTER | ||||
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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.