CLEVELAND ANTHONY THIBODEAUX III
NPI 1740800531
Counselor in Fairfield, CA

Active since April 21, 2020
2101 COURAGE DR, FAIRFIELD, CA 94533(707) 428-1131 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cleveland Anthony Thibodeaux Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEVELAND ANTHONY THIBODEAUX III (NPI 1740800531) is an individual counselor in Fairfield, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1740800531
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCLEVELAND ANTHONY THIBODEAUX III
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address1966 Finch WayFairfield, CA 94533-2312 · (707) 389-1563
Sole ProprietorNo
Enumeration DateApril 21, 2020
NPPES CertifiedApril 21, 2020
NPI 1740800531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
2101 COURAGE DR, Fairfield, CA 94533

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533
Registered Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Adult Companion
2101 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2101 COURAGE DR
FAIRFIELD, CA 94533
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleveland Thibodeaux's NPI number?

The NPI number for Cleveland Thibodeaux is 1740800531. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Cleveland Thibodeaux located?

Cleveland Thibodeaux practices at 2101 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 428-1131.

What is Cleveland Thibodeaux's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Cleveland Thibodeaux was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.