EDDIEMAY FOX VIODES (NPI# 1992369961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992369961 |
| Entity Type | Individual |
| Full Name | EDDIEMAY FOX VIODES |
| Practice Address |
605 5th St Modesto CA 95351-3316 |
| Practice Telephone | 2093810718 |
| Mailing Telephone | 2093810718 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
605 5TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043648496 | Adam Ward | Case Manager/Care Coordinator | 605 5th St, Modesto, CA 95351-3316 | 2013-10-23 |
| 1982269585 | Brian Willie Gault | Technician | 605 5th St, Modesto, CA 95351-3316 | 2019-05-08 |
| 1104480185 | Chaz Robert Whitsell | Case Manager/Care Coordinator | 605 5th St, Modesto, CA 95351-3316 | 2019-04-25 |
| 1063076057 | Steven Lynn White | Technician | 605 5th St, Modesto, CA 95351-3316 | 2019-04-25 |
| 1386030377 | Krystle Marie Miguens | Case Manager/Care Coordinator | 605 5th St, Modesto, CA 95351-3316 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982123543 | Joanne Willis | Counselor | 5815 Stoddard Rd, Modesto, CA 95356-9041 | 2017-09-14 |
| 1427420694 | Liliana Pulido | Counselor | 3001 Health Care Way Ste 102, Modesto, CA 95356-8510 | 2015-10-27 |
| 1801095500 | Cynthia Ocanada | Counselor | 1201 Crater Ave, Modesto, CA 95351-7311 | 2007-07-12 |
| 1750421574 | Sonia A Greer | Counselor | 1400 K St, Suite B, Modesto, CA 95354-1018 | 2007-02-08 |
| 1629137740 | Heather Lynn Smith | Counselor | 4220 Kindred Ct, Modesto, CA 95356-1870 | 2006-12-06 |
| 1972677839 | Shelly Denise Booker | Counselor | 1235 Mchenry Ave Ste A&b, Modesto, CA 95350-5370 | 2006-11-20 |
| 1124634514 | Yahaira Judith Andrade | Counselor | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-09-21 |
| 1245849314 | Annamarie Rae Pedroza | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2020-07-24 |
| 1255957221 | Nathan Chalk | Counselor | 1540 Florida Ave, Modesto, CA 95350-4430 | 2020-06-24 |
| 1972138386 | A Nd T Hope 4 Change | Counselor | 1101 Standiford Ave, Modesto, CA 95350-0982 | 2020-03-05 |
| Find all providers in MODESTO | ||||
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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.