JOLENE S KEO (NPI# 1811164767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811164767 |
| Entity Type | Individual |
| Full Name | JOLENE S KEO |
| Practice Address |
4422 N Pershing Ave Ste D5 Stockton CA 95207-6967 |
| Practice Telephone | 2099538864 |
| Mailing Telephone | 2099538864 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| 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 |
4422 N PERSHING AVE STE D5 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730356684 | Chanda Hin | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-05-09 |
| 1780836239 | Lan Thi Nguyen | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-10-15 |
| 1386890101 | Chay Yang | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-08-12 |
| 1245495159 | Ryan Nguyen | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-07-21 |
| 1003073966 | Van Thi Le | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-05-19 |
| 1023285970 | Vickie Vienkhong Amkhamavong | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-05-09 |
| 1336316280 | Samuel Chai Yang | Counselor | 4422 N Pershing Ave Ste D5, Stockton, CA 95207-6967 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1841805074 | Michael Leslie Lau | Counselor | 1176 Rosemarie Ln Apt 133, Stockton, CA 95207-6726 | 2020-09-14 |
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1417414608 | Dondre White | Counselor | 2433 Country Club Blvd Apt 106, Stockton, CA 95204-4733 | 2019-02-25 |
| 1073020731 | Sharlett Barnett Rose | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-01-03 |
| 1609387117 | Sunhouse | Counselor | 1781 Willow Park Way, Stockton, CA 95206-5832 | 2017-10-24 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1356870018 | Ana Sanchez | Counselor | 445 N. San Joaquin Street, Stockton, CA 95202 | 2017-06-07 |
| 1033647060 | Lisa Breshinsky | Counselor | 2200 Daniel Bray Hwy, Stockton, NJ 08559-1819 | 2017-06-04 |
| 1104353515 | Amy Elida Aitken | Counselor | 1803 W March Ln Ste C, Stockton, CA 95207-6414 | 2017-05-16 |
| Find all providers in STOCKTON | ||||
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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.