MEKEISHA SHAWN BUFFALOE (NPI# 1700139615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700139615 |
| Entity Type | Individual |
| Full Name | MEKEISHA SHAWN BUFFALOE |
| Credential | MFTI |
| Practice Address |
237 Race St San Jose CA 95126-4823 |
| Mailing Address |
1459 Treat Blvd Apt. 615 Walnut Creek CA 94597-7503 |
| Practice Telephone | 4089719822 |
| Mailing Telephone | 9518373865 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF 62475 | CA | Behavioral Health & Social Service Providers |
| Street Address |
237 RACE ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348152 | Emily Kerbo | Marriage & Family Therapist | 237 Race St, San Jose, CA 95126-4823 | 2006-12-01 |
| 1730627118 | Andrew Ha | Counselor | 237 Race St, San Jose, CA 95126-4823 | 2017-02-06 |
| 1306235460 | Diana Ortega | Social Worker | 237 Race St, San Jose, CA 95126-4823 | 2015-01-13 |
| 1780082651 | Minoli Hordagoda | Counselor | 237 Race St, San Jose, CA 95126-4823 | 2014-12-09 |
| 1104220474 | Rebecca Siqueiros | Social Worker | 237 Race St, San Jose, CA 95126-4823 | 2014-10-15 |
| 1275935504 | Melvin Calaway Jr. | Case Management | 237 Race St, San Jose, CA 95126-4823 | 2014-09-18 |
| 1881096295 | Alisia Olavia Perches Murphy | Counselor | 237 Race St, San Jose, CA 95126-4823 | 2014-09-17 |
| 1073922332 | Colette Simone Gregory | Counselor | 237 Race St, San Jose, CA 95126-4823 | 2014-08-11 |
| 1427465558 | John Crowder | Community Health Worker | 237 Race St, San Jose, CA 95126-4823 | 2014-07-21 |
| 1861807190 | Brenden Gotelli | Case Manager/Care Coordinator | 237 Race St, San Jose, CA 95126-4823 | 2014-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
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| 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 |
|---|---|---|---|---|
| 1598372377 | Ratzburg Family Counseling Corporation | Marriage & Family Therapist | 465 Chinook Ln, San Jose, CA 95123-3311 | 2020-09-25 |
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1083230981 | Joanna Leigh Carson-young | Marriage & Family Therapist | 1769 Park Ave Ste 220, San Jose, CA 95126-2025 | 2020-06-17 |
| 1144857467 | Glenn M Tanimura | Marriage & Family Therapist | 1079 Noble Ln, San Jose, CA 95132-3128 | 2020-03-25 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1992339196 | Brenda Ann Farrell | Marriage & Family Therapist | 1625 The Alameda Ste 711, San Jose, CA 95126-2225 | 2020-02-26 |
| 1619507472 | Michelle Marie Wambach | Marriage & Family Therapist | 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 | 2020-01-21 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1497398002 | Veronica Marie Ayala | Marriage & Family Therapist | 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 | 2019-10-26 |
| 1700428224 | Lynn Huggins | Marriage & Family Therapist | 1625 The Alameda Ste 304, San Jose, CA 95126-2223 | 2019-10-16 |
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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.