JENNIFER AGIS


Address: 39275 Liberty St # D-12, Fremont, CA 94538-1519
Phone: 5107423904

JENNIFER AGIS (NPI# 1730318643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730318643
Entity Type Individual
Full Name JENNIFER AGIS
Practice Address 39275 Liberty St # D-12
Fremont
CA 94538-1519
Practice Telephone 5107423904
Practice Fax Number 5107423912
Mailing Telephone 5107423904
Mailing Fax Number 5107423912
Enumeration Date 2009-07-13
Last Update Date 2009-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers JENNIFER AGIS

NPI Name Taxonomy Address Enumeration
1891351607 Jennifer Agis Community Health Worker 184 Eldridge St, New York, NY 10002-2992 2019-05-16

Office Location

Street Address 39275 LIBERTY ST # D-12
City FREMONT
State CA
Zip Code 94538-1519

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1902370067 Nicole Sandoval Counselor 39155 Liberty St Suite E500, Fremont, CA 94538 2019-01-11
1497225015 Megan Galban Behavior Technician 39210 State St. Suite 220, Fremont, CA 94538 2018-11-27
1780154302 Karla Patricia Plascencia Behavior Technician 39210 State Street Suite 220, Fremont, CA 94538 2018-11-27
1215407846 Sydney J Torrens Behavior Technician 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2018-11-27
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396342135 Lima Karim Counselor 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 2020-10-05
1104462449 Shamika Guidry Counselor 38721 Cherry Ln, Fremont, CA 94536-4223 2019-11-21
1457634479 Brenda Ortiz Counselor 3607 Main Street, Suite A, Fremont, CA 94538 2011-09-26
1750601159 April Clark Counselor 555 Mowry Ave Ste A, Fremont, CA 94536-4101 2010-06-08
1649508722 James A Jaksha Counselor 1731 N C St, Fremont, NE 68025-3401 2009-11-30
1063677615 Alberto Axayacatl Guerrero Counselor 39275 Liberty St Ste D12, Fremont, CA 94538-1519 2008-07-23
1275714487 April A Desmarais Counselor 12 Tibbetts Rd, Fremont, NH 03044-3573 2007-11-15
1780878520 Kimberly Mae Curtis Counselor 39275 Liberty St Ste D-12, Fremont, CA 94538-1519 2007-09-05
1033303219 Kara Carnahan Counselor 4360 Central Ave, Fremont, CA 94536-5802 2007-08-30
1104964766 Suella Neal Helmholz Counselor 4300 Hansen Ave, Fremont, CA 94536-4841 2007-02-02
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Competitor

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City FREMONT
Zip Code 94538

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Dataset Information

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.

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