MS. COLLEEN ANN STICKEL (NPI# 1992047559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992047559 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN ANN STICKEL |
| Credential | L.M.F.T. |
| Practice Address |
81557 Dr Carreon Blvd Ste C9 Indio CA 92201-5562 |
| Practice Telephone | 7603916999 |
| Practice Fax Number | 7603916998 |
| Mailing Telephone | 7603916999 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC37012 | CA | Behavioral Health & Social Service Providers |
| Street Address |
81557 DR CARREON BLVD STE C9 |
| City | INDIO |
| State | CA |
| Zip Code | 92201-5562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467578047 | Mellani Mallari Lara | Licensed Vocational Nurse | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2007-03-22 |
| 1679132294 | Kaitlyn Taylor Cozens | Social Worker | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2019-06-07 |
| 1902461809 | Leonard Adam Williamson | Counselor | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2019-05-06 |
| 1952884850 | Jeremy Randall | Case Manager/Care Coordinator | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2018-09-07 |
| 1306355250 | Kathleen Gaschk | Counselor | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2017-09-22 |
| 1376066936 | Jose Israel Glavey Mendoza | Counselor | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201 | 2017-07-25 |
| 1932569993 | Jarvis Fields | Marriage & Family Therapist | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2016-03-02 |
| 1063899839 | Audrey Osborne | Case Manager/Care Coordinator | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2015-04-30 |
| 1285020784 | Yvette Avila Gastelum | Counselor | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2015-04-10 |
| 1750773388 | Daniel Jackson | Case Manager/Care Coordinator | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2015-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437683836 | Justina Beth Larson | Marriage & Family Therapist | 82871 Larsen Dr, Indio, CA 92203-4014 | 2017-04-12 |
| 1922542612 | Alejandro Ayala Avila | Marriage & Family Therapist | 44199 Monroe St Ste D, Indio, CA 92201-3094 | 2016-12-14 |
| 1720427958 | Karina Rosales | Marriage & Family Therapist | 82-704 Miles Ave, Indio, CA 92201 | 2013-06-20 |
| 1861831000 | Kathleen Marie Mcintosh | Marriage & Family Therapist | 44199 Monroe St Ste B, Indio, CA 92201-3094 | 2013-06-20 |
| 1558631283 | Timothy Oliver Coston Jr. | Marriage & Family Therapist | 81709 Dr Carreon Blvd Ste D1, Indio, CA 92201-5578 | 2012-01-11 |
| 1083880116 | Linda Anne Smith | Marriage & Family Therapist | 81711 Hwy 111, Ste 101, Indio, CA 92201 | 2008-05-08 |
| 1811039787 | Steven Charles Oppenheimer | Marriage & Family Therapist | 47915 Oasis Street, Indio, CA 92201 | 2007-02-13 |
| 1770642738 | Claudia Jo Swanson | Marriage & Family Therapist | 48113 Jackson St., Indio, CA 92201 | 2006-12-06 |
| 1245324722 | Elia Paula | Marriage & Family Therapist | 47825 Oasis, Indio, CA 92201 | 2006-10-02 |
| 1689767113 | Elihu Goretsky | Marriage & Family Therapist | 47825 Oasis Street, Indio, CA 92201 | 2006-10-02 |
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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.