HAILY JEANNE HUMPHREY (NPI# 1801383625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801383625 |
| Entity Type | Individual |
| Full Name | HAILY JEANNE HUMPHREY |
| Credential | M.A. |
| Practice Address |
4510 Executive Dr Ste 315 San Diego CA 92121-3029 |
| Mailing Address |
515 Birmingham Dr Cardiff CA 92007-1705 |
| Practice Telephone | 8585348019 |
| Mailing Telephone | 7608152036 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| 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 |
4510 EXECUTIVE DR STE 315 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922303411 | Gina M Burkhardt | Marriage & Family Therapist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2011-01-14 |
| 1801400437 | Adrianne Anderegg | Marriage & Family Therapist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2020-09-01 |
| 1699397760 | Tana Luo | Psychologist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2020-05-12 |
| 1194376145 | Terra Lee Towne | Psychologist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2019-09-20 |
| 1912554965 | Natalie Blue Heller | Marriage & Family Therapist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2019-08-23 |
| 1437715000 | Brittany Kay Bohrer | Student in an Organized Health Care Education/Training Program | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2019-05-19 |
| 1992297980 | Alexandra Felicia Muratore | Student in an Organized Health Care Education/Training Program | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2018-06-05 |
| 1326535121 | Jennifer Ling Wang-hall | Psychologist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2018-04-17 |
| 1114414943 | Anne Elyse Cusack | Psychologist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2018-04-17 |
| 1538656350 | Claire Spencer | Marriage & Family Therapist | 4510 Executive Dr Ste 315, San Diego, CA 92121-3029 | 2018-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
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| 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 |
|---|---|---|---|---|
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1851903751 | Shawn M Sta Ines | Counselor | 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 | 2020-08-20 |
| 1821607599 | Tara Oneil | Counselor | 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 | 2020-07-28 |
| 1881212520 | Ureclaim Therapy | Counselor | 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 | 2020-07-09 |
| 1326664731 | Andressa Gomes Giacomini | Counselor | 6219 Stanley Ave Apt 7, San Diego, CA 92115-4048 | 2020-06-22 |
| 1407480726 | Autumn Weidman | Counselor | 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 | 2020-02-25 |
| 1881233708 | Ramin Movafaghi | Counselor | 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 | 2019-12-23 |
| 1326696477 | Jennifer Erin Reimer | Counselor | 7568 Charmant Dr Apt 1917, San Diego, CA 92122-5018 | 2019-09-02 |
| 1316595739 | Ashley Champa | Counselor | 7954 Dagget St, San Diego, CA 92111-2306 | 2019-08-28 |
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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.