JORDAN RUIZ (NPI# 1841725728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841725728 |
| Entity Type | Individual |
| Full Name | JORDAN RUIZ |
| Practice Address |
2716 Freedom Blvd Watsonville CA 95076-1027 |
| Mailing Address |
335 E Lake Ave Watsonville CA 95076-4826 |
| Practice Telephone | 8316886293 |
| Mailing Telephone | 8317286445 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2716 FREEDOM BLVD |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083830392 | Stephanie M Plane | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2007-04-17 |
| 1053823435 | Celsa Gonzalez | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2017-10-25 |
| 1881126688 | Mariela Aceves | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2017-03-30 |
| 1962934141 | Tania Plascencia Trejo | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2017-03-28 |
| 1922547785 | Jaden Wilkes | Marriage & Family Therapist | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2017-02-13 |
| 1518318997 | Diana Arellano | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2016-06-27 |
| 1790136331 | Daniel Versman | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2016-06-24 |
| 1013367713 | Lizbeth Tapia Cerriteno | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2016-06-14 |
| 1952759292 | Tzitziqui Romero | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2016-05-26 |
| 1972951531 | David Hott | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2016-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| 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 |
|---|---|---|---|---|
| 1427439314 | Phillip Gene Ashadina Jr. | Counselor | 12 Carr St, Watsonville, CA 95076-4710 | 2015-06-16 |
| 1467710509 | Shaun Chesnut | Counselor | 365 Whiskeyhill Rd., Watsonville, CA 95076 | 2012-04-26 |
| 1205084415 | Rosie Martin | Counselor | 365 Whiskey Hill Rd., Watsonville, CA 95076 | 2008-08-29 |
| 1053515817 | Fernando De Anda | Counselor | 12 W Beach St Ste 219, Watsonville, CA 95076-4504 | 2007-06-13 |
| 1952516148 | Analicia H Ruiz | Counselor | 225 Apt. A Clifford Ave., Watsonville, CA 95076 | 2007-05-11 |
| 1821202326 | Valentin Rodriguez | Counselor | 15 Cowles Rd, Watsonville, CA 95076-1119 | 2007-05-10 |
| 1649499542 | Tanya Herrera | Counselor | 18 W Lake Ave, Suite G, Watsonville, CA 95076-4537 | 2007-04-25 |
| 1154546422 | Lorenza Garcia | Counselor | 245 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-13 |
| 1801354378 | Sandra Magdaleno | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2019-03-04 |
| 1104330745 | Lizandra Alonso | Counselor | 102 Wheelock Rd, Watsonville, CA 95076-9719 | 2017-11-17 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
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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.