JILLIAN WALLACE (NPI# 1770954448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770954448 |
| Entity Type | Individual |
| Full Name | JILLIAN WALLACE |
| Credential | MH |
| Practice Address |
2261 Elm St Napa CA 94559-3721 |
| Practice Telephone | 7072534700 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2261 ELM ST |
| City | NAPA |
| State | CA |
| Zip Code | 94559-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699868133 | Mukund Gnanadesikan | Psychiatry & Neurology | 2261 Elm St, Napa, CA 94559-3721 | 2006-10-02 |
| 1083069827 | Brenda Parra | Community Health Worker | 2261 Elm St, Bldg A, Napa, CA 94559-3721 | 2016-04-29 |
| 1306206198 | Christina Grattan | Social Worker | 2261 Elm St, Napa, CA 94559-3721 | 2016-03-07 |
| 1467833855 | Lynne Sonya Santamaria I | Registered Nurse | 2261 Elm St, Napa, CA 94559-3721 | 2015-06-11 |
| 1346632353 | Luz Herminia Jimenez Magana | Case Manager/Care Coordinator | 2261 Elm St, Napa, CA 94559-3721 | 2015-02-27 |
| 1063829331 | Gusto Curtis | Social Worker | 2261 Elm St, Napa, CA 94559-3721 | 2014-07-17 |
| 1801200068 | Jennifer Swift | Student in an Organized Health Care Education/Training Program | 2261 Elm St, Napa, CA 94559-3721 | 2014-06-16 |
| 1285070698 | Josefina Nicolas | Counselor | 2261 Elm St, Building C, Napa, CA 94559-3721 | 2013-05-13 |
| 1891039863 | Joanna Gutierrez | Student in an Organized Health Care Education/Training Program | 2261 Elm St, Bldg. A, Napa, CA 94559-3721 | 2012-11-15 |
| 1285983825 | Megan Jean Casey | Student in an Organized Health Care Education/Training Program | 2261 Elm St, Napa County Health and Human Services Agency, Napa, CA 94559-3721 | 2012-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730742156 | Beauregard Story | Dentist | 300 Hartle Court, Napa, CA 94559 | 2019-04-22 |
| 1841771565 | Yadira Rojas | Behavioral Analyst | 249 Jefferson St, Napa, CA 94559 | 2018-08-22 |
| 1497276364 | Nuzhat Sultana | Marriage & Family Therapist | 1303 Jefferson Street Ste 600a, Lorraine Crockford Ma. Lmft, Napa, CA 94559 | 2017-06-30 |
| 1629507983 | Elia Inglis | Social Worker | 2310 First St., Napa, CA 94559 | 2017-06-08 |
| 1164838231 | Nisha Patel | Counselor | 2344 Old Sonoma Road, Napa, CA 94559 | 2014-07-09 |
| 1447687330 | Ole Health | Clinic/Center | 100 Hartle Ct, Napa, CA 94559 | 2013-10-09 |
| 1437597515 | Jenna Leigh Haug | Nutritionist | 1553 Second St., Downstairs Unit, Napa, CA 94559 | 2013-06-11 |
| 1518303817 | Jen Marie Lytle | Counselor | 2261 Elm Street, Building P, Napa, CA 94559 | 2013-05-14 |
| 1598028714 | Angela Rozella Todd | Nurse Practitioner | 1735 Jefferson Street, Napa, CA 94559 | 2012-06-21 |
| 1699075911 | Brian Mcdaniels | Counselor | 2344 Old Sonoma Rd., Building J Room 109, Napa, CA 94559 | 2010-11-02 |
| Find all providers in zip 94559 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831637446 | Denise Sandra Machuca Hernandez | Counselor | 1100 Lincoln Ave Ste 202, Napa, CA 94558-4956 | 2017-02-02 |
| 1164838231 | Nisha Patel | Counselor | 2344 Old Sonoma Road, Napa, CA 94559 | 2014-07-09 |
| 1518303817 | Jen Marie Lytle | Counselor | 2261 Elm Street, Building P, Napa, CA 94559 | 2013-05-14 |
| 1720382328 | Monica B Stoker | Counselor | 833 Franklin St, Napa, CA 94559-2948 | 2010-12-22 |
| 1023319639 | Michael Aaron Asch | Counselor | 74 Ridgecrest Dr, Napa, CA 94558-9673 | 2010-11-12 |
| 1699075911 | Brian Mcdaniels | Counselor | 2344 Old Sonoma Rd., Building J Room 109, Napa, CA 94559 | 2010-11-02 |
| 1831349810 | Douglas J. Peisch | Counselor | 1320 2nd St, Napa, CA 94559-2941 | 2008-09-25 |
| 1750598595 | Vanessa Dawn Luna | Counselor | 1957 Seville Dr, Napa, CA 94559-4320 | 2007-05-17 |
| 1720138670 | Dolores Verdin Espinoza | Counselor | 1500 3rd St Ste 1b, Napa, CA 94559-2865 | 2007-01-11 |
| 1386794238 | Adriana Del Carmen Martinez-chavez | Counselor | 2751a Napa Valley Corporate Dr, Napa, CA 94558-6216 | 2007-01-11 |
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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.