CLEMENTINE HINES (NPI# 1982062360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982062360 |
| Entity Type | Individual |
| Full Name | CLEMENTINE HINES |
| Practice Address |
2280 Diamond Blvd Ste 500 Concord CA 94520-5719 |
| Practice Telephone | 9254832223 |
| Mailing Telephone | 9254832223 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2280 DIAMOND BLVD STE 500 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891998761 | Kimberly Ann Porter-leite | Marriage & Family Therapist | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2007-06-07 |
| 1437762929 | Ed Taniqua Caprice Moore | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2020-08-25 |
| 1477119642 | Tangalia Williams | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-05-14 |
| 1417513607 | Stacy Patricia Heiser | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-05-14 |
| 1407412620 | Jenny Lee Sisler | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-05-13 |
| 1821551508 | John Langali Mwaengo | Licensed Psychiatric Technician | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-04-10 |
| 1578026365 | Reyna Domondon | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-04-09 |
| 1326507989 | Alexa Cecile Goloff | Registered Nurse | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-03-13 |
| 1053875310 | Claire Josephine Partida | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2019-01-30 |
| 1881171692 | Bridgette Suzanne Florez | Counselor | 2280 Diamond Blvd Ste 500, Concord, CA 94520-5719 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427396 | Samantha Captain | Peer Specialist | 40 Pleasant St, Concord, NH 03301-4006 | 2020-04-27 |
| 1386263739 | Susan Pratley | Peer Specialist | 10 West St, Concord, NH 03301-3548 | 2020-04-15 |
| 1104445691 | Aurelia Hutchison | Peer Specialist | 40 Pleasant St, Concord, NH 03301-4006 | 2020-04-14 |
| 1588203475 | Ivy Barboza | Peer Specialist | 42 Pleasant St, Concord, NH 03301-4006 | 2019-12-26 |
| 1588229322 | Rebecca Martin | Peer Specialist | 3 N State St, Concord, NH 03301-4037 | 2019-05-07 |
| 1447813803 | Alex Opidee | Peer Specialist | 3 N State St, Concord, NH 03301-4037 | 2019-04-20 |
| 1891268132 | Cindal Menard | Peer Specialist | 3 N State St, Concord, NH 03301-4037 | 2019-01-09 |
| 1376010686 | Lionel Grassi | Peer Specialist | 3 N State St, Concord, NH 03301-4037 | 2018-10-25 |
| 1083180137 | Rebecca Corson | Peer Specialist | 3 N State St, Concord, NH 03301-4037 | 2018-10-16 |
| 1073094066 | Linda Frances Dunn | Peer Specialist | 1430 Willow Pass Rd Ste 100, Concord, CA 94520-7946 | 2018-08-27 |
| Find all providers in CONCORD | ||||
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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.