SHELLY ROSE VONK STALEY (NPI# 1801264932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801264932 |
| Entity Type | Individual |
| Full Name | SHELLY ROSE VONK STALEY |
| Other Name | SHELLY ROSE VONK |
| Credential | LMFT 114352 |
| Practice Address |
200 S 13th St Ste 210 Grover Beach CA 93433-2263 |
| Mailing Address |
4507 Del Rio Rd Atascadero CA 93422-1933 |
| Practice Telephone | 8056020756 |
| Mailing Telephone | 8054624230 |
| Enumeration Date | 2015-09-06 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT114352 | CA | Behavioral Health & Social Service Providers |
| Street Address |
200 S 13TH ST STE 210 |
| City | GROVER BEACH |
| State | CA |
| Zip Code | 93433-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382783 | Melissa Ann Richardson | Registered Nurse | 286 S. 16th Street, Grover Beach, CA 93433 | 2017-01-10 |
| 1447637475 | Katherine Clair Verwest | Counselor | 1428 Brighton Ave., Grover Beach, CA 93433 | 2015-04-28 |
| 1033552997 | Randall Gaynor Rodman | Dentist | 200 South 13th Street, No 109, Grover Beach, CA 93433 | 2013-04-10 |
| 1154685352 | Allyson N Thompson-knox | Marriage & Family Therapist | 1125 West Grand Avenue, Suite D, Grover Beach, CA 93433 | 2012-07-02 |
| 1851546436 | Jay Alan Turner | Counselor | 1206 Capitola Street, Grover Beach, CA 93433 | 2008-11-24 |
| 1407043862 | Ginette Gallagher II | Public Health or Welfare | 286 So. 16th St, San Luis Obispo County Health Department, Grover Beach, CA 93433 | 2007-10-01 |
| 1700099090 | Cynthia Kae Nelson | Counselor | 767 Ramona Ave, Grover Beach, CA 93433 | 2007-05-07 |
| 1861614158 | Steven Hideki Yoneda | Specialist/Technologist | 1660 Manhattan Avenue, Grover Beach, CA 93433 | 2007-05-03 |
| 1265557136 | Jenna Eyton Wolfson | Social Worker | 901 Ramona Ave # I, Grover Beach, CA 93433 | 2007-03-20 |
| 1922169655 | Donna Maurine Van Pelt | Marriage & Family Therapist | 150b S 6th St, Grover Beach, CA 93433 | 2006-12-13 |
| Find all providers in zip 93433 | ||||
| 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 |
|---|---|---|---|---|
| 1831600246 | Matthew T Settle | Marriage & Family Therapist | 555 S 13th St Ste L, Grover Beach, CA 93433-2866 | 2017-10-12 |
| 1629312160 | Gail Norrine Liguore | Marriage & Family Therapist | 197 N 10th St Ste 101, Grover Beach, CA 93433-2159 | 2012-11-21 |
| 1154685352 | Allyson N Thompson-knox | Marriage & Family Therapist | 1125 West Grand Avenue, Suite D, Grover Beach, CA 93433 | 2012-07-02 |
| 1467712927 | Dana Francis | Marriage & Family Therapist | 150 S 6th St Ste A, Grover Beach, CA 93433-2057 | 2012-05-17 |
| 1851622591 | Anne S Norfleet | Marriage & Family Therapist | 1125 W Grand Ave Ste D, Grover Beach, CA 93433-2114 | 2010-01-20 |
| 1225270127 | Maureen Zeff Steger | Marriage & Family Therapist | 170 W Grand Ave, Suite 202, Grover Beach, CA 93433-1969 | 2009-03-24 |
| 1225286800 | Joseph Austin Mcgrath | Marriage & Family Therapist | 910 Ramona Ave, Suite I, Grover Beach, CA 93433-2154 | 2008-09-08 |
| 1922169655 | Donna Maurine Van Pelt | Marriage & Family Therapist | 150b S 6th St, Grover Beach, CA 93433 | 2006-12-13 |
| 1386719094 | Connie L. (linda) Rodgers | Marriage & Family Therapist | 1149 Saratoga Avenue, Grover Beach, CA 93433 | 2006-11-21 |
| 1558430967 | Lynn G. Marie | Marriage & Family Therapist | 150 B So. 6th St., Suite B, Grover Beach, CA 93433 | 2006-11-07 |
| Find all providers in GROVER BEACH | ||||
| City | GROVER BEACH |
| Zip Code | 93433 |
Please comment or provide details below to improve the information on SHELLY ROSE VONK STALEY.
| 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.