Active NPI
Charise Annette Lewis
- Behavior Technician
- San Marcos, CA
National Provider Identifier
1811488620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-59643
- Practice address
- 334 Via Vera Cruz Ste 102
San Marcos, CA 92078-2636 - Phone
- (760) 621-9133
- NPI assigned
- May 29, 2018
- Last updated
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | ||
| Behavior Technician | 106S00000X | RBT-18-59643 | NU | Primary |
Addresses
Primary practice location
334 Via Vera Cruz Ste 102
San Marcos, CA 92078-2636
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 1
5151 Murphy Canyon Rd Ste 150
San Diego, CA 92123-4480
Phone (619) 275-4525
Other names 1
- Charise Annette Tea
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Education Solutions, Inc. | Behavior Technician | Past | Accepting new patients |
| Total Education Solutions Inc | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TES Therapy
- Medical Specialty Clinic/Center
- Los Angeles, CA
- NPI 1659535052
Behavior Technician
-
dba TES Therapy
- Speech-Language Pathologist
- San Diego, CA
- NPI 1124317961
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1811488620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 VIA VERA CRUZ STE 102",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782636",
"telephone_number": "760-621-9133"
}
],
"practiceLocations": [
{
"address_1": "5151 Murphy Canyon Rd Ste 150",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234480",
"country_code": "US",
"telephone_number": "619-275-4525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "CHARISE",
"middle_name": "ANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": "RBT-18-59643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARISE",
"last_name": "TEA",
"middle_name": "ANNETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.