KHIANA FERGUSON (NPI# 1851791818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851791818 |
Entity Type | Individual |
Full Name | KHIANA FERGUSON |
Practice Address |
2050 Youth Way Fullerton CA 92835-3819 |
Mailing Address |
17425 Bauchard Ct Carson CA 90746-1609 |
Practice Telephone | 7148719264 |
Practice Fax Number | 7148715032 |
Mailing Telephone | 3102548220 |
Enumeration Date | 2014-08-27 |
Last Update Date | 2017-10-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
2437 | CA | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Street Address |
2050 YOUTH WAY |
City | FULLERTON |
State | CA |
Zip Code | 92835-3819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942363205 | Megan J Egner | Counselor | 2050 Youth Way, Fullerton, CA 92835-3819 | 2006-12-18 |
1609242247 | Patrick Murray | Marriage & Family Therapist | 2050 Youth Way, Fullerton, CA 92835-3819 | 2015-08-18 |
1215316351 | Adrienne Hollingsworth | Student in an Organized Health Care Education/Training Program | 2050 Youth Way, Fullerton, CA 92835-3819 | 2015-05-21 |
1174914485 | Scott Schenck | Student in an Organized Health Care Education/Training Program | 2050 Youth Way, Fullerton, CA 92835 | 2015-02-09 |
1093114035 | Lorraine Rose Patterson | Student in an Organized Health Care Education/Training Program | 2050 Youth Way, Fullerton, CA 92835-3819 | 2014-08-15 |
1770991812 | Gwenyth Thomas | Student in an Organized Health Care Education/Training Program | 2050 Youth Way, Fullerton, CA 92835-3819 | 2014-07-31 |
1508289414 | Allana E Glines-bull | Student in an Organized Health Care Education/Training Program | 2050 Youth Way, Fullerton, CA 92835-3819 | 2014-01-28 |
1962836924 | Heather A Barron | Student in an Organized Health Care Education/Training Program | 2050 Youth Way, Fullerton, CA 92835-3819 | 2013-08-27 |
1497194328 | Stephanie Lynn Stefanelli | Psychologist | 2050 Youth Way, Bldg 1, Fullerton, CA 92835-3819 | 2013-06-25 |
1871835009 | Keiko Otaki | Counselor | 2050 Youth Way, Fullerton, CA 92835-3819 | 2013-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
Find all providers in zip 92835 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023642303 | Juvenal Castillo | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-02-26 |
1710517800 | Tracy Preda | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-01-17 |
1023648169 | Lina Gabriella Balchas | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-01-16 |
1215585898 | Maria Linda Valencia | Counselor | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-08-28 |
1710532122 | Jamila Akkouche | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2019-08-03 |
1730657099 | Dana Leigh Miscia | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2018-11-05 |
1104361153 | Lauren Mitchell | Counselor | 1370 Brea Blvd, Suite 210, Fullerton, CA 92835-4125 | 2016-12-30 |
1639626344 | Cristina Diaz | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2016-09-10 |
1912380908 | Tania Acevedo | Counselor | 801 E Chapman Ave, 203, Fullerton, CA 92831-3839 | 2015-07-08 |
1811384811 | Diana Marie Guzman | Counselor | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2015-04-17 |
Find all providers in FULLERTON |
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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.