Jeanine Parks is a Counselor practicing in Fresno, California. The National Provider Identifier (NPI) is #1104011931, which was assigned on September 14, 2007, and the registration record was last updated on September 21, 2021. The practitioner's main practice location is at 643 E Sample Ave, Fresno, CA 93710-5428; the contact telephone number is 5592522204. The primary taxonomy of Jeanine Parks is Counselor (101Y00000X).
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.
| NPI | 1104011931 |
| Entity Type | Individual |
| Provider Name | MISS JEANINE PARKS |
| Gender | Female |
| Practice Address |
643 E Sample Ave Fresno CA 93710-5428 |
| Practice Telephone | 5592522204 |
| Mailing Address |
4928 E Clinton Way Ste 108 Fresno CA 93727-1526 |
| Mailing Telephone | 5592522804 |
| Mailing Fax Number | 5592522804 |
| Certification Date | 2021-09-21 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2021-09-21 |
| Is Sole Proprietor | Y |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | ||||
| Y | 101Y00000X | Counselor |
| Address | Telephone | Fax |
|---|---|---|
| 1105 E Yale Ave, Fresno, CA 937046238 | 5592521738 | |
| 2216 E Cambridge Ave, Fresno, CA 937032123 | 5592522140 | |
| 320 E Warner Ave, Fresno, CA 937103711 | 5592521613 | |
| 3267 W Rialto Ave, Fresno, CA 937224138 | 5592440881 | |
| 3467 W Shaw Ave Ste 103, Fresno, CA 937113223 | 5592713096 | 5592740292 |
| 3894 E Gettysburg Ave, Fresno, CA 937260901 | 5594540822 | |
| 4165 E Perrin Rd, Clovis, CA 936199118 | 5592976893 | |
| 4862 E Clinton Ave, Fresno, CA 937032873 | 5592522450 | |
| 6224 W Belmont Ave, Fresno, CA 937239556 | 5592779089 | |
| 6250 N Millbrook Ave, Fresno, CA 937105620 | 5594317874 | |
| 643 E Sample Ave, Fresno, CA 937105428 | 5592522204 |
| Code | 101Y00000X |
| Taxonomy | Counselor |
| Classification | Counselor |
| Grouping | Behavioral Health & Social Service Providers |
| 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. |
| Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| Classification | Case Manager/Care Coordinator |
| Grouping | Other Service Providers |
| Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
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| Find all providers with the same taxonomy | |||
| Street Address |
643 E SAMPLE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5428 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sarah Starleana Thomas | 643 E Sample Ave, Fresno, CA 93710-5428 | Marriage & Family Therapist | 2008-07-22 |
| Dalise Nantelle Marbury | 643 E Sample Ave, Fresno, CA 93710-5428 | Marriage & Family Therapist | 2018-11-27 |
| Quality Group Homes, Inc. · Quality Family Services - Sample House | 643 E Sample Ave, Fresno, CA 93710-5428 | Community/Behavioral Health Agency | 2020-01-09 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| North Star Wellness Center, Inc | 6051 N. Fresno Street #103, Fresno, CA 93710 | Community/Behavioral Health Agency | 2020-06-10 |
| Jennifer Garcia | 5325 N Fresnost, Fresno, CA 93710 | Behavior Technician | 2021-05-23 |
| Sadiq Karim Shaikh | 5325 N Fresno St. 106, Fresno, CA 93710 | Behavior Technician | 2024-08-03 |
| Fatima Ival Lopez | 1320 East Shaw Ave, #110, Fresno, CA 93710 | Behavior Technician | 2023-02-01 |
| Abel Luis Flores | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | Physical Therapy Assistant | 2019-10-10 |
| Patsy Joan Perry | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | Counselor | 2020-06-23 |
| Kelsey Marie Thompson | 1752 E Bullard Ave, Unit 101, Fresno, CA 93710 | Behavior Technician | 2023-08-16 |
| Maricela Ruiz | 6051 Suite 201, Fresno, CA 93710 | Licensed Psychiatric Technician | 2023-08-16 |
| Sarah Jane Cerami | 1620 E Bulldog Lane, Fresno, CA 93710 | Athletic Trainer | 2020-04-09 |
| Dalia Garcilazo | 5235 N. Fresno Street Suite 106, Fresno, CA 93710 | Behavioral Analyst | 2022-06-27 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jeanine Windish Rainey · Jeanine M Riordan | 9529 Country Club Green Dr, St Louis, MO 63127 | Speech-Language Pathologist | 2007-01-30 |
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| Jeanine A Ishak · Jeanine Adriana Schuttenhelm | 32144 Agoura Rd, Ste 106, Westlake Village, CA 91361-4040 | Nurse Practitioner | 2006-05-20 |
| Jeanine E. Kotschwar · Jeanine E Entingh | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 | Clinical Psychologist | 2006-07-14 |
| Jeanine P Forrester · Jeanine Howard | 80 State Hwy 310, Suite 1, Canton, NY 13617 | Clinical Social Worker | 2015-05-12 |
| Jeanine Parks Wilson | 1350 Walton Way, Neonatal Intensive Care Unit, Augusta, GA 30901-2612 | Neonatal Intensive Care Registered Nurse | 2008-07-16 |
| Jeanine M Forsythe Cordoba · Jeanine M Moreau | 3200 Carlisle Blvd Ne Ste 225, Albuquerque, NM 87110-1664 | Professional Counselor | 2013-04-11 |
| Dorothy Jeanine Hinshaw · D Jeanine King | 2512 Hurst Dr Ste 120, Mattoon, IL 61938-9200 | Adult Health Nurse Practitioner | 2008-08-26 |
| Jeanine R. Showalter · Jeanine R. Holland | 12140 Nall Ave, Suite 200, Overland Park, KS 66209-2503 | Registered Nurse | 2006-08-22 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |