| Evergreen Marriage And Family Counseling Services, Corp. | |
|
5079 Highway 140 Mariposa CA 95338-2434 | |
| (209) 742-5080 | |
| Not Available |
| Full Name | Evergreen Marriage And Family Counseling Services, Corp. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5079 Highway 140, Mariposa, California |
| Authorized Official Name and Position | Amy Elizabeth Harper (OWNER/CEO) |
| Authorized Official Contact | 2096289691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Marriage And Family Counseling Services, Corp. Po Box 62 Mariposa CA 95338-0062 Ph: (209) 742-5080 | Evergreen Marriage And Family Counseling Services, Corp. 5079 Highway 140 Mariposa CA 95338-2434 Ph: (209) 742-5080 |
| NPI Number | 1356107197 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 9638606445 |
|---|---|
| Medicare Enrollment ID | O20241218000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356107197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Marisa Farnsworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730652082 PECOS PAC ID: 2466893888 Enrollment ID: I20240515003515 |
| Provider Name | Amy Elizabeth Harper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467704189 PECOS PAC ID: 1355878166 Enrollment ID: I20241218000905 |
| Provider Name | Teddi Michele Plummer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023434677 PECOS PAC ID: 0244768521 Enrollment ID: I20250114003719 |
Mountain Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5320 Highway 49 N, Mariposa, CA 95338 Phone: 559-267-3552 | |
American Indian Council Of Mariposa County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4629 Hwy 49, Mariposa, CA 95338 Phone: 209-966-3245 | |
County Of Mariposa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 State Highway 49n, Mariposa, CA 95338 Phone: 209-966-3689 | |
County Of Mariposa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5379 Highway 49 North, Mariposa, CA 95338 Phone: 209-966-2000 | |
Mariposa County Telepsychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5037 Stroming Road, Mariposa, CA 95338 Phone: 209-966-2000 Fax: 209-966-8251 | |
County Of Mariposa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5362 Lemee Lane, Mariposa, CA 95338 Phone: 209-966-2000 Fax: 209-966-8251 | |
Evergreen Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5079 Highway 140, Mariposa, CA 95338 Phone: 209-742-5080 |