| S.u.p.e.r. Peer Counseling Program | |
|
3400 Central Ave Ste 215 Riverside CA 92506-2175 | |
| (951) 934-8944 | |
| (951) 346-9583 |
| Full Name | S.u.p.e.r. Peer Counseling Program |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3400 Central Ave Ste 215, Riverside, California |
| Authorized Official Name and Position | Kathleen Sarmiento (LICENSED MFT) |
| Authorized Official Contact | 9519348944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.u.p.e.r. Peer Counseling Program 3400 Central Ave Ste 215 Riverside CA 92506-2176 Ph: (951) 934-8944 | S.u.p.e.r. Peer Counseling Program 3400 Central Ave Ste 215 Riverside CA 92506-2175 Ph: (951) 934-8944 |
| NPI Number | 1154904704 |
|---|---|
| Provider Enumeration Date | 05/02/2021 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 3678919990 |
|---|---|
| Medicare Enrollment ID | O20240308002949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154904704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Kathleen Irene Grealy Sarmiento |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366733388 PECOS PAC ID: 4587000807 Enrollment ID: I20240308002991 |
Angel Of Faith Non Profit Organization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-500-2774 Fax: 951-358-0762 | |
Adom Telepsychiatry And Mental Health Services A Professional Nur Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4199 Flat Rock Dr Ste 148, Riverside, CA 92505 Phone: 951-707-7471 | |
Citrus City Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 130, Riverside, CA 92506 Phone: 951-203-8737 | |
Raincross Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 130, Riverside, CA 92506 Phone: 661-992-2650 Fax: 951-406-4377 | |
Ucan Feel Better, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4033 Mt Vernon Ave, Riverside, CA 92507 Phone: 951-848-4026 | |
Foundation For Growth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4193 Flat Rock Dr Ste 200, Riverside, CA 92505 Phone: 949-510-8055 | |
Telepsychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3075 Myers St, Riverside, CA 92503 Phone: 951-358-6895 |