MR. WILLIE FRIESON POOLE III (NPI# 1881106300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881106300 |
| Entity Type | Individual |
| Full Name | MR. WILLIE FRIESON POOLE III |
| Credential | BA |
| Practice Address |
2198 Cayuga Ave San Francisco CA 94112-4023 |
| Practice Telephone | 6508080815 |
| Mailing Telephone | 5107989725 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2198 CAYUGA AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94112-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033316732 | James Michael Elliott Jr. | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112 | 2007-06-27 |
| 1821623265 | Kayla Chaundeny Scott | Case Manager/Care Coordinator | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2020-03-05 |
| 1538626080 | Ann Marie Dembicer | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2019-02-20 |
| 1063991966 | Wanda White | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2018-08-10 |
| 1245733278 | Ebony Nikita Mckneely | Case Manager/Care Coordinator | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2018-03-15 |
| 1033619143 | Joycelynn Green | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2018-02-15 |
| 1972001451 | Leticia Irene Gonzalez | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2018-01-30 |
| 1023522257 | Jeremiah Rae Asuque | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2017-11-27 |
| 1679083448 | Aimee Salazar | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112 | 2017-10-06 |
| 1154831444 | Crystal Martin | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737545 | Janine L Gong | Physical Therapist | 5737 Mission St., San Francisco, CA 94112 | 2020-10-09 |
| 1518449974 | Sophia Steffani | Behavioral Analyst | 385 Niagara Avenue, San Francisco, CA 94112 | 2018-09-02 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1962903773 | Joshua Jones | Behavior Technician | 795 Folsom St, 1st Floor, San Francisco, CA 94112 | 2018-02-27 |
| 1861917973 | Tiffany Huang | Occupational Therapist | 262 Broad Street, San Francisco, CA 94112 | 2017-08-09 |
| 1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
| 1497133466 | Jennifer Michelle Zanoli | Student in an Organized Health Care Education/Training Program | 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 | 2015-05-11 |
| 1346653649 | Vincent Yan | Marriage & Family Therapist | 15 Robinson Dr, San Francisco, CA 94112 | 2014-06-04 |
| 1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
| 1467756544 | Andrew Loukas | Dentist | 5248 Mission St, San Francisco, CA 94112 | 2011-01-04 |
| Find all providers in zip 94112 | ||||
| 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 |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1326654518 | Mina Dailami | Counselor | 45 Adair St Apt A, San Francisco, CA 94103-3699 | 2020-09-22 |
| 1538773841 | Samantha Santamaria | Counselor | 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 | 2020-09-03 |
| 1659980076 | Claire Katherine Sheeran | Counselor | 1275 34th Ave, San Francisco, CA 94122-1306 | 2020-07-31 |
| 1104434331 | Archana Chatkara Thomas | Counselor | 974 Pine St Apt 9, San Francisco, CA 94108-2928 | 2020-07-14 |
| 1790306157 | Katherine Rose Kaffka | Counselor | 995 Potrero Ave # 220, San Francisco, CA 94110-2859 | 2020-04-27 |
| 1265073811 | Matthew Charles Paden | Counselor | 1801 Vicente St San Francisco, San Francisco, CA 94116-2923 | 2019-10-04 |
| 1801442140 | Danielle Sawicki | Counselor | 4355 Geary Blvd, San Francisco, CA 94118-3003 | 2019-08-13 |
| 1417501347 | Kimberly Shadean Wedderburn | Counselor | 2200 Hayes St Fl 3, San Francisco, CA 94117-1013 | 2019-07-29 |
| 1740847250 | Caroline Elson | Counselor | 1440 Steiner St Apt 3, San Francisco, CA 94115-4128 | 2019-05-21 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94112 |
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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.