Ninway Bakoz – Professional Counselor in Ceres, CA

Key facts

NPI: 1700281144
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
Practice address: 1904 Richland Ave
Ceres, CA 95307-4562
Phone: (209) 300-8800
NPI assigned: Oct 28, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Sierra Vista Child & Family Services Community/Behavioral Health Agency · Modesto, CA · NPI 1477686350

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Sierra Vista Child & Family Services		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	State	Primary
Counselor	101Y00000X
Marriage & Family Therapist	106H00000X	CA
Case Manager/Care Coordinator	171M00000X
Professional Counselor	101YP2500X		Yes

Addresses

Primary practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

1072 La Paloma St
Turlock, CA 95382-0485
Phone (209) 485-5456

Other practice location 1

2524 Finney Rd
Modesto, CA 95358-9765
Phone (209) 550-5858

Other practice location 2

901 Hoyer Rd
Newman, CA 95360-9717
Phone (209) 862-2984 ext. 262

Other providers in Ceres, CA

All providers in Ceres, CA · Professional Counselor in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.