MISS TEZZA LYDIA PHILLIPS (NPI# 1902309529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902309529 |
| Entity Type | Individual |
| Full Name | MISS TEZZA LYDIA PHILLIPS |
| Practice Address |
3340 Kemper St Ste 105 San Diego CA 92110-4907 |
| Practice Telephone | 6195238121 |
| Mailing Telephone | 6195238121 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1294240318 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 373781000 | 05 |
| Street Address |
3340 KEMPER ST STE 105 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134354889 | Michael J Short | Specialist | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2009-05-26 |
| 1811554975 | Zachary Norris Lederman Mcbride | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2019-05-23 |
| 1144885898 | Kevin Fitzgerald Nichols | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2019-05-08 |
| 1700368099 | Tarina Kollars | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-09-03 |
| 1093208811 | Brent H Testerman | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-06-07 |
| 1740773464 | Katrina Howell | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-06-07 |
| 1518469899 | Agnes G Cole | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2018-03-02 |
| 1073041679 | Marie G Denis | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2017-05-25 |
| 1639607237 | Jenny Nguyen | Case Manager/Care Coordinator | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2017-05-25 |
| 1609243542 | Jose Ruiz | Counselor | 3340 Kemper St Ste 105, San Diego, CA 92110-4907 | 2015-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
| Find all providers in SAN DIEGO | ||||
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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.