JAMIE SHAMBLIN (NPI# 1740461029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740461029 |
| Entity Type | Individual |
| Full Name | JAMIE SHAMBLIN |
| Credential | B.A. |
| Practice Address |
5036 Sunrey Rd Placerville CA 95667-9529 |
| Practice Telephone | 5306442412 |
| Mailing Telephone | 5306442412 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5036 SUNREY RD |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073685202 | Carla L Wills | Social Worker | 5036 Sunrey Rd, Placerville, CA 95667 | 2006-11-14 |
| 1346663697 | Jennifer Malone | Marriage & Family Therapist | 5036 Sunrey Rd, Placerville, CA 95667-9529 | 2014-01-22 |
| 1699108712 | Shannon Rochelle Cottier | Counselor | 5036 Sunrey Rd, Placerville, CA 95667 | 2013-08-13 |
| 1326229600 | Summitview Child and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 5036 Sunrey Rd, Placerville, CA 95667-9529 | 2007-11-15 |
| 1760675441 | Mike Jude Mcgraw | Counselor | 5036 Sunrey Rd, Placerville, CA 95667-9529 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497152748 | Joshua Wittmershaus | Counselor | 1275 Broadway, Placerville, CA 95667-5805 | 2014-12-02 |
| 1881831857 | Patrizia Ahlers | Counselor | 3185 Glory Rd, Placerville, CA 95667-5833 | 2009-01-13 |
| 1740447804 | Aaron Michael Sanders | Counselor | 2808 Mallard Ln # Lanec, Placerville, CA 95667-8770 | 2008-05-16 |
| 1134398654 | Jessica Angeline Belcher | Counselor | 3173 Cedar Ravine Rd, Placerville, CA 95667-6547 | 2008-02-28 |
| 1386813582 | Darin Joseph Coelho | Counselor | 905 Darlington Ave, Placerville, CA 95667-6514 | 2008-02-21 |
| 1942833173 | John Ebenezer | Counselor | 670 Placerville Dr, Placerville, CA 95667-4200 | 2020-02-17 |
| 1669039293 | Casey Brown | Counselor | 670 Placerville Dr, Placerville, CA 95667-4200 | 2019-05-20 |
| 1386102184 | Ariel Quilling | Counselor | 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 | 2019-03-11 |
| 1942764121 | Christopher Wolny | Counselor | 670 Placerville Dr, Placerville, CA 95667-4200 | 2019-01-22 |
| 1538638499 | Robin Mcmillan-hebert | Counselor | 670 Placerville Dr, Placerville, CA 95667-4200 | 2018-11-20 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.