MISS CONSTANCE SHIN (NPI# 1750827291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750827291 |
| Entity Type | Individual |
| Full Name | MISS CONSTANCE SHIN |
| Credential | LMFT |
| Practice Address |
4010 Watson Plaza Dr Suite 285 Lakewood CA 90712-4037 |
| Practice Telephone | 5624971505 |
| Practice Fax Number | 5624971881 |
| Mailing Telephone | 5624971505 |
| Mailing Fax Number | 5624971881 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 48639 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4010 WATSON PLAZA DR SUITE 285 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995665 | Jubilee Health Care Management, Inc. | Home Health | 4010 Watson Plaza Dr, Suite 210, Lakewood, CA 90712-4037 | 2005-07-13 |
| 1700140282 | Sandra Lee Flores | Social Worker | 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | 2012-06-28 |
| 1730323866 | China Keyonnie Gassoway Stevenson | Case Manager/Care Coordinator | 4010 Watson Plaza Dr, Suite 135, Lakewood, CA 90712-4037 | 2009-04-20 |
| 1538302773 | Richard Carl Romero | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1346483583 | Jacqueline N Gomez | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1861638256 | Adriana Michelle Meza | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-01-06 |
| 1538339627 | Maribel Contreras | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2008-03-05 |
| 1649476425 | Crittenton Services for Children and Families | Community/Behavioral Health | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-06-27 |
| 1538380951 | Kendra Venetta Tankersley | Rehabilitation Practitioner | 4010 Watson Plaza Dr, 135, Lakewood, CA 90712-4037 | 2007-05-02 |
| 1962520205 | Yoshika Okada Sincock | Marriage & Family Therapist | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| 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 |
|---|---|---|---|---|
| 1235752445 | Rossana Snee | Marriage & Family Therapist | 4328 Canehill Ave, Lakewood, CA 90713-2922 | 2020-05-21 |
| 1336760248 | Adrian Matthew Lobb | Marriage & Family Therapist | 3333 S Wadsworth Blvd Unit D201, Lakewood, CO 80227-5141 | 2020-05-01 |
| 1477022945 | Christopher Chaffin | Marriage & Family Therapist | 4252 Conquista Ave, Lakewood, CA 90713-3204 | 2018-11-14 |
| 1417498924 | Wendy A. Stubbs | Marriage & Family Therapist | 10024 Hipkins Rd Sw, Lakewood, WA 98498-4435 | 2017-03-16 |
| 1295285989 | Sade Monique Thompson-bell | Marriage & Family Therapist | 5150 Candlewood St Ste 18j, Lakewood, CA 90712-1925 | 2016-10-06 |
| 1841678208 | Jessica Edwards | Marriage & Family Therapist | 4930 3/4 Hayter Ave, Lakewood, CA 90712-3136 | 2015-05-18 |
| 1104249010 | Katherine Korenke | Marriage & Family Therapist | 1630 Carr St, Ste B, Lakewood, CO 80214-5985 | 2014-01-28 |
| 1659617421 | Faiiletasi V.s. Ekeroma | Marriage & Family Therapist | 10505 Occident St Sw, Lakewood, WA 98499-3763 | 2012-12-21 |
| 1558626069 | Jane Elizabeth Montague | Marriage & Family Therapist | 1254 S Flower Cir Apt E, Lakewood, CO 80232-2026 | 2012-07-10 |
| 1851600514 | Brandy Alexandria Harris | Marriage & Family Therapist | 5150 Candlewood St Ste 16f, Lakewood, CA 90712-1927 | 2010-09-29 |
| Find all providers in LAKEWOOD | ||||
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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.