JACQUELYN WILLIAMS (NPI# 1679903181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679903181 |
| Entity Type | Individual |
| Full Name | JACQUELYN WILLIAMS |
| Practice Address |
916 N Mountain Ave Ste A Upland CA 91786-3658 |
| Practice Telephone | 9099321069 |
| Practice Fax Number | 9099321087 |
| Mailing Telephone | 9099321069 |
| Mailing Fax Number | 9099321087 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245779115 | Jacquelyn Williams | Custodial Care Facility | 2841 32nd St Se, Kentwood, MI 49512-1755 | 2017-02-13 |
| 1316184484 | Jacquelyn Deneen Williams | Social Worker | 501 N Abbey Rd, Urbana, IL 61802-2284 | 2009-01-12 |
| 1396942074 | Jacquelyn Counts Williams | Nurse Practitioner | 3521 Del Rey Blvd Ste B, Las Cruces, NM 88012-7708 | 2007-06-27 |
| 1225117153 | Jacquelyn T Williams | Psychologist | 3625 E Thousand Oaks Blvd Ste 261, Westlake Village, CA 91362-3575 | 2006-11-02 |
| 1295388452 | Jacquelyn Sue Williams | Case Manager/Care Coordinator | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2019-07-17 |
| 1205375326 | Jacquelyn Williams | Pharmacist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2017-02-22 |
| 1851701411 | Jacquelyn Williams | Physical Therapist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2014-05-05 |
| 1598045759 | Jacquelyn A Williams | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2011-08-19 |
| 1639457534 | Jacquelyn Williams | Nurse Practitioner | 1300 37th St, Suite 1, West Des Moines, IA 50266-1900 | 2011-07-26 |
| 1245433796 | Jacquelyn Michele Williams | Dentist | 2522 Dana St, Suite 101, Berkeley, CA 94704-2803 | 2007-06-11 |
| Street Address |
916 N MOUNTAIN AVE STE A |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467788315 | Becky Baker | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2009-10-28 |
| 1124485156 | Colin Cochran | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2016-01-21 |
| 1407213432 | Lorelle Grove | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2016-01-21 |
| 1235503749 | Tasha Liu | Licensed Vocational Nurse | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2015-11-20 |
| 1679972418 | Jessica Lawrence | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2014-08-18 |
| 1639591746 | Vicki Hobson | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2014-01-08 |
| 1154751568 | Claudia Castillo | Community Health Worker | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2013-11-21 |
| 1598195000 | Laurie Figueroa | Community Health Worker | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2013-11-19 |
| 1780019646 | Vance White | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2013-09-11 |
| 1831523349 | Tracy Forgione | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2013-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059725 | Nicholas Howard Munoz | Counselor | 934 N Mountain Ave Ste C-d, Upland, CA 91786-3659 | 2020-10-08 |
| 1437625969 | Melissa Jean Hacker | Counselor | 934 N Mountain Ave Ste A, Upland, CA 91786-3659 | 2018-10-23 |
| 1356887152 | Erica Roxanne Caudillo | Counselor | 167 N 3rd Ave Ste N, Upland, CA 91786-6052 | 2017-01-17 |
| 1255729422 | Alexander Murray | Counselor | 1260 E. Arrow Hwy Bldg. E, Upland, CA 91786 | 2014-12-22 |
| 1477875433 | Sandra I. Romero | Counselor | 916 N. Mountain Ave., Suite A, Upland, CA 91786 | 2010-02-18 |
| 1467788315 | Becky Baker | Counselor | 916 N Mountain Ave Ste A, Upland, CA 91786-3658 | 2009-10-28 |
| 1669697322 | Robert Andrew Gallegos | Counselor | 1260 E Arrow Hwy Bldg B, Upland, CA 91786-4996 | 2007-04-16 |
| 1831222652 | Susan Evette Otero | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2007-03-13 |
| 1245387687 | Janice Kay Degrande | Counselor | 1260 E Arrow Hwy Bldg C, Upland, CA 91786-4987 | 2007-01-05 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| Find all providers in UPLAND | ||||
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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.