RETA QUAVE (NPI# 1982814257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982814257 |
| Entity Type | Individual |
| Full Name | RETA QUAVE |
| Practice Address |
15447 Anacapa Rd Suite 104 Victorville CA 92392-2481 |
| Mailing Address |
Po Box 7369 Redlands CA 92375-0369 |
| Practice Telephone | 7602459446 |
| Practice Fax Number | 7607518986 |
| Mailing Telephone | 9093357067 |
| Mailing Fax Number | 9097922045 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| 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) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SIMON STAFF NUMBER | 4701 | 01 |
| Street Address |
15447 ANACAPA RD SUITE 104 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-2481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629090592 | Jeanne Patricia Newcomer | Social Worker | 15447 Anacapa Rd, Suite 200, Victorville, CA 92392-2481 | 2006-07-23 |
| 1043459399 | Chad A Rodgers | Counselor | 15447 Anacapa Rd, Suite 104, Victorville, CA 92392-2481 | 2009-02-10 |
| 1871790196 | Hjordis Ellis | Counselor | 15447 Anacapa Rd, Suite 104, Victorville, CA 92392-2481 | 2007-06-29 |
| 1467657650 | Tina Strauss | Counselor | 15447 Anacapa Rd, Suite 104, Victorville, CA 92392-2481 | 2007-06-18 |
| 1376663120 | Carolynn Anne Herning | Counselor | 15447 Anacapa Rd, Suite 200, Victorville, CA 92392-2481 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020717 | Phillip Tardanico Lcsw and Associates | Counselor | 15000 7th St Ste 201, Victorville, CA 92395-3850 | 2020-07-20 |
| 1942853114 | Mayra Maritza Serapia | Counselor | 14805 Saguaro St, Victorville, CA 92394-5593 | 2019-07-17 |
| 1679073886 | Maira Kessler | Counselor | 13258 Aspen Way, Victorville, CA 92392-5524 | 2018-02-14 |
| 1578003216 | Natasha Townsend | Counselor | 13422 Foxborough Way, Victorville, CA 92392-5557 | 2017-02-28 |
| 1902357874 | Samuel Alexander Johnson | Counselor | 16755 Hughes Rd, Victorville, CA 92395-4563 | 2016-10-17 |
| 1689121907 | Nichole Renee Allen | Counselor | 16428 Victor Street, Victorville, CA 92395-3934 | 2016-09-02 |
| 1063871291 | Phillip George Tardanico | Counselor | 15409 Anacapa Rd Ste A, Victorville, CA 92392-2463 | 2016-02-16 |
| 1962825505 | Micah Bass | Counselor | 16200 Bear Valley Rd Ste 110, Victorville, CA 92395-8708 | 2014-02-03 |
| 1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
| 1598960049 | Tina Dyane Perry | Counselor | 13333 Palmdale Road, Victorville, CA 92392-2535 | 2007-06-15 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
Please comment or provide details below to improve the information on RETA QUAVE.
| 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.