SERGIO PENA (NPI# 1891336939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891336939 |
| Entity Type | Individual |
| Full Name | SERGIO PENA |
| Credential | CDPT |
| Practice Address |
1175 Carondelet Dr Richland WA 99354-3300 |
| Mailing Address |
Po Box 1452 Pasco WA 99301-1223 |
| Practice Telephone | 5095431415 |
| Practice Fax Number | 5097363893 |
| Mailing Telephone | 5095431415 |
| Mailing Fax Number | 5095460520 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60950451 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083176267 | Sergio Estevan Pena | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2019-04-05 |
| Street Address |
1175 CARONDELET DR |
| City | RICHLAND |
| State | WA |
| Zip Code | 99354-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497222 | Farrukh H Hashmi | Psychiatry & Neurology | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2006-06-17 |
| 1700414208 | Darlene Carrillo | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-30 |
| 1003443482 | Laura Lynn Tenney | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-25 |
| 1093342735 | Christopher John Hoag | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-24 |
| 1114554953 | Lesley Martinez Martinez | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-23 |
| 1316573736 | Tia Christine Pingel | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-17 |
| 1679107254 | Emma Ballew | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-02-24 |
| 1144866856 | Sarah Elizabeth Severin | Registered Nurse | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2019-11-18 |
| 1871145326 | Jenna Fox | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2019-07-15 |
| 1306498985 | Gregory Michael Paup | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1275072704 | Glenn Manigque | Speech-Language Pathologist | 1525 Hunt Avenue, Richland, WA 99354 | 2017-02-16 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1346569431 | Mitchell Scott Ferris | Preventive Medicine | 2435 Stevens Center Place, Wtp Medcor Medical Facility, Richland, WA 99354 | 2010-05-28 |
| 1104155928 | Jamie Loretta Brault | Counselor | 1124 Stevens Drive, Richland, WA 99354 | 2009-12-08 |
| 1881835056 | Tracey Ann Glenn | Registered Nurse | 1305 Hains Avenue, Richland, WA 99354 | 2009-03-17 |
| 1124153374 | Robert John Betzler | Chiropractor | 294 Torbett, Richland, WA 99354 | 2007-02-21 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1831136894 | James A. Strong Jr. | Anesthesiology | 2433 G. Washington Way, #7202, Richland, WA 99354 | 2006-05-31 |
| Find all providers in zip 99354 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707365 | Vis-a-vis Counseling & Consulting, Pllc | Counselor | 1908 Lee Blvd, Richland, WA 99352-3812 | 2020-07-09 |
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1366078644 | Richard Kelly Powelson | Counselor | 925 Stevens Dr Ste Richland, Richland, WA 99352-3523 | 2020-03-18 |
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1376198002 | Senaida Sandy Apolinar | Counselor | 925 Stevens Dr Ste 3a, Richland, WA 99352-3523 | 2019-08-08 |
| 1356905004 | Support, Advocacy, and Resource Center | Counselor | 1458 Fowler St, Richland, WA 99352-4717 | 2019-04-29 |
| 1124504642 | Revitalizing Relationships, Pllc | Counselor | 750 Swift Blvd Ste 7, Richland, WA 99352-3521 | 2018-07-17 |
| 1164962361 | Jamie Graham | Counselor | 400 Bradley Blvd Ste 100, Richland, WA 99352-6028 | 2017-03-07 |
| 1124476874 | Kathleen Woods | Counselor | 208 Cullum St, Richland, WA 99352 | 2016-06-02 |
| 1831547066 | Suzanne Damstedt | Counselor | 1839 Mcmurray Ave, Richland, WA 99354-2484 | 2016-05-27 |
| Find all providers in RICHLAND | ||||
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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.