KIMBERLY JO ELIAS (NPI# 1023320918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023320918 |
| Entity Type | Individual |
| Full Name | KIMBERLY JO ELIAS |
| Credential | LPC |
| Practice Address |
406 Chatham Square Office Park Suite 102 Fredericksburg VA 22405-2585 |
| Mailing Address |
1301 Dunes St Apt 101 Fredericksburg VA 22401-5027 |
| Practice Telephone | 9078311243 |
| Practice Fax Number | 5403736266 |
| Mailing Telephone | 9078311243 |
| Mailing Fax Number | 5403736266 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2015-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0718000230 | VA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701004471 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932418944 | Kimberly Ann Elias | Pharmacist | 824 Purchase St, New Bedford, MA 02740-6232 | 2010-09-26 |
| Street Address |
406 CHATHAM SQUARE OFFICE PARK SUITE 102 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22405-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932159795 | Diane I Veach | Social Worker | 406 Chatham Square Office Park, Suite #101, Fredericksburg, VA 22405-2585 | 2006-05-11 |
| 1902416605 | Jenna Elizabeth Chapman | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2020-08-06 |
| 1518581644 | Jessica Lauren Castiglia | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2020-06-04 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| 1275025546 | Keri Amanda Bradshaw | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2018-06-03 |
| 1881121614 | Virginia Oncology Care,pc | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2017-05-11 |
| 1437691607 | Alliance Therapy for Adults LLC | Social Worker | 406 Chatham Square Office Park, Suite 102, Fredericksburg, VA 22405-2585 | 2016-11-05 |
| 1205386729 | Jamie Mcdowell | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2016-10-07 |
| 1194164418 | Archana Jadhav | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2013-06-19 |
| 1104107127 | Manan Mehta Md Inc | Clinic/Center | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2011-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217442 | Rappahannock Area Young Men's Christian Association | Health Educator | 212 Butler Road, Falmouth, VA 22405 | 2017-10-24 |
| 1518334606 | Darrell Dean Dila | Physical Therapist | 212 Butler Rd, Fredericksburg, VA 22405 | 2015-08-25 |
| 1790108215 | Charise Hansen | Occupational Therapist | 121 Boscobel Rd, Fredericksburg, VA 22405 | 2014-02-04 |
| 1033494984 | Trinity Home Health | Home Health | 111 Braemar Place, Fredericksburg, VA 22405 | 2011-10-11 |
| 1053526350 | Steffani A. Deas | Optometrist | 110 Cambridge Street, Access Eye Centers, Fredericksburg, VA 22405 | 2007-05-11 |
| 1689899726 | Clear Care Dental Pllc. | Preferred Provider Organization | 10 Chatham Heights Rd., Fredericksburg, VA 22405 | 2007-04-16 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| 1134137086 | Premier Eyecare, Angela Tsai, O.d. and Associates, P.C. | Optometrist | 230 Butler Road, Fredericksburg, VA 22405 | 2006-08-04 |
| 1952383606 | Kash Eagleton | Physical Therapist | 421 Chatham Square Office Park, Fredericksburg, VA 22405 | 2005-11-17 |
| 1104087832 | Elizabeth Gordon Denson | Physical Therapy Assistant | 11 Dairy Lane, Woodmont Center, Fredricksburg, VA 22405 | 2008-06-25 |
| Find all providers in zip 22405 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392445 | Jashanda Poe | Counselor | 238 Riverside Manor Blvd, Fredericksburg, VA 22401-4937 | 2020-10-07 |
| 1124653647 | Monday Courage LLC | Counselor | 180 Chatham Heights Rd Ste 203, Fredericksburg, VA 22405-2569 | 2020-03-04 |
| 1649803594 | Malcolm Ian Bernard | Counselor | 180 Chatham Heights Rd, Fredericksburg, VA 22405-2569 | 2020-02-19 |
| 1538727003 | April Mae Cook | Counselor | 4820 Southpoint Dr Ste 105, Fredericksburg, VA 22407-2605 | 2019-05-30 |
| 1831754928 | Rebecca Clay Howson-jacobs | Counselor | 1801 William St, Fredericksburg, VA 22401-5236 | 2019-05-05 |
| 1962962076 | Mary Wazeter Mannhardt I | Counselor | 1141 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2019-03-23 |
| 1760949127 | Starting Point of Virginia, P.C. | Counselor | 4024 Plank Rd, Fredericksburg, VA 22407-4800 | 2019-02-21 |
| 1558835686 | Pamela Brown | Counselor | 1320 Central Park Blvd Ste 200, Fredericksburg, VA 22401-4953 | 2019-01-11 |
| 1962987693 | Amber Carpenter | Counselor | 1102 Hoke Ln, Fredericksburg, VA 22401-2641 | 2018-09-27 |
| 1053897868 | Joanne Thomas | Counselor | 150 Olde Greenwich Dr Ste 204, Fredericksburg, VA 22408-4002 | 2018-07-15 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22405 |
Please comment or provide details below to improve the information on KIMBERLY JO ELIAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.