MS. DEBORAH AVERHART


Address: 1430 Neotomas Ave, Santa Rosa, CA 95405-7575
Phone: 7075694602

MS. DEBORAH AVERHART (NPI# 1982135661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982135661
Entity Type Individual
Full Name MS. DEBORAH AVERHART
Practice Address 1430 Neotomas Ave
Santa Rosa
CA 95405-7575
Mailing Address 2403 Professional Dr
Suite 102
Santa Rosa
CA 95403-3007
Practice Telephone 7075694602
Practice Fax Number 7075657488
Mailing Telephone 7075712233
Mailing Fax Number 7075712238
Enumeration Date 2017-03-23
Last Update Date 2017-03-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 1430 NEOTOMAS AVE
City SANTA ROSA
State CA
Zip Code 95405-7575

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841344181 Department of Health Services Substance Abuse Rehabilitation Facility 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2007-01-23
1871190199 Paricia Maloney Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2020-10-09
1326659400 Aaron Lee Mcclymonds Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2020-08-12
1427666965 Nata Oberg Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2020-07-21
1336761675 Tim H Oconnor Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2020-05-09
1861012221 Tinamarie Sanchez Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2020-04-25
1629698105 Alena C Ragueneau Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2020-04-24
1609418227 Emilia Espinosa Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2019-10-15
1194284661 Christina Dawn Madden Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2019-03-14
1023527629 Gayle Lynn Clay Counselor 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 2017-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083230486 Lizett Camacho Counselor 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 2020-06-22
1346768918 Ingrid Tsong Student in an Organized Health Care Education/Training Program 3447 Summerfield Road, Santa Rosa, CA 95405 2017-09-05
1275051898 Jessica Peters Malmberg Student in an Organized Health Care Education/Training Program 2447 Summerfield Rd, Santa Rosa, CA 95405 2017-09-04
1306246772 Kirsten Eckert Advanced Practice Midwife 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 2014-09-03
1982034294 Mohammad Reza Saeidi Dentist 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 2013-11-22
1851631642 Debi M. Emmons Marriage & Family Therapist 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 2013-02-15
1841549979 Karie Louise Klim Marriage & Family Therapist 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 2012-09-05
1427314400 Rachel E. Page Counselor 2447 Summerfield Rd., Santa Rosa, CA 95405 2012-04-04
1689991572 Center for Integral Healing Inc. Community Health Worker 182 Farmers Lane, #203, Santa Rosa, CA 95405 2010-04-30
1588997647 Kai Morgan Dentist 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 2009-09-08
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710506381 Shauna Rose Hamilton Counselor 831 Howard St, Santa Rosa, CA 95404-3714 2020-04-13
1659884864 Jessica Vargas Lopez Counselor 3333 Chanate Road, Santa Rosa, CA 95404 2017-11-09
1275066193 Alyssia Cruz Counselor 2245 Challenger Way, Santa Rosa, CA 95407-5418 2017-04-07
1780036780 Brittany Leigh Ratiani Counselor 1421 Guerneville Rd Ste 128, Santa Rosa, CA 95403 2016-07-01
1912378381 Deborah Dooley Counselor 650 Larkfield Ctr # A-3, Santa Rosa, CA 95403-1400 2015-10-12
1669842878 Kimberly Harris Counselor 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 2015-09-30
1265808976 Wilton Hall IIi Counselor 3114 Terra Linda Dr, Santa Rosa, CA 95404-2121 2015-08-17
1154752244 Tara Farrell Counselor 123 General Delivery, Santa Rosa, CA 95402-9999 2013-11-27
1225463128 Laura May Counselor 757 Beaver St, Santa Rosa, CA 95404-3755 2013-09-10
1427482348 Eden Rose Lebold Counselor 1230 Impala Ct, Santa Rosa, CA 95405-7323 2013-08-27
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95405

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Dataset Information

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.

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