MR. LEE BOONE (NPI# 1871617803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871617803 |
| Entity Type | Individual |
| Full Name | MR. LEE BOONE |
| Practice Address |
2975 Sacramento St Berkeley CA 94702-2534 |
| Mailing Address |
Po Box 767 Suisun City CA 94585-0767 |
| Practice Telephone | 4157405591 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BIS | 32551 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760677215 | Lee Anna Boone | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2007-09-07 |
| Street Address |
2975 SACRAMENTO ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290037 | Omari Mull | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2019-11-19 |
| 1992369193 | Lovell Donnell Williams | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2019-04-24 |
| 1356813927 | Ramean Khepri Maat | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2018-12-20 |
| 1285100800 | Elizabeth Ann Roskey | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2018-10-22 |
| 1699267302 | Michael Anthony Thompson | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2018-05-30 |
| 1376996330 | Kim Weaver | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2016-07-14 |
| 1467803692 | Dominic Blakeney | Case Manager/Care Coordinator | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2016-06-29 |
| 1952766305 | Shaneice Harris | Genetic Counselor, MS | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2015-12-29 |
| 1467822387 | Kyloh Cummings | Counselor | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2015-10-05 |
| 1942670419 | Berkeley Addiction Teratment Services | Health Maintenance Organization | 2975 Sacramento St, Berkeley, CA 94702-2534 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275152324 | Nicholas Michael Jester | Counselor | 1610 Milvia St Apt 2, Berkeley, CA 94709-2047 | 2020-04-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1629429790 | Pearl Ortiz | Counselor | 1280 University Ave Apt D, Berkeley, CA 94702-1762 | 2016-06-29 |
| 1417352634 | Aous Jarrar | Counselor | 1931 Center St., Berkeley, CA 94704-1105 | 2014-10-30 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1699192369 | Elaine Gram | Counselor | 1942 University Ave Ste 208, Berkeley, CA 94704-1073 | 2014-03-19 |
| 1285078378 | Verona Lyn | Counselor | 1931 Center Street, Berkeley, CA 94704 | 2013-04-19 |
| 1407167117 | Preston Vargas | Counselor | 3051 Adeline St, Berkeley, CA 94703-2523 | 2010-06-28 |
| 1598092462 | Justin Paul Phillips | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2009-11-12 |
| 1679778864 | Ben C Pryor | Counselor | Ben Pryor 998 Virginia St, Berkeley, CA 94710-1851 | 2007-06-18 |
| Find all providers in BERKELEY | ||||
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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.