KIMBERLY TILLEY (NPI# 1043840945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043840945 |
| Entity Type | Individual |
| Full Name | KIMBERLY TILLEY |
| Credential | MA |
| Practice Address |
102 Patrick Street Plz Charleston WV 25387-2444 |
| Practice Telephone | 3042333200 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043642317 | Kimberly Joanna Tilley | Pharmacist | 57750 E 52 Rd, Maramec, OK 74045-6036 | 2013-08-08 |
| 1740338763 | Kimberly Brungardt Tilley | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| Street Address |
102 PATRICK STREET PLZ |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25387-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043608326 | Joseph Shaffer | Counselor | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2015-01-08 |
| 1003415597 | Loretta Rogers | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-10-26 |
| 1538773221 | Kathryn Paige Hauldren | Social Worker | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-09-01 |
| 1447862768 | Robert Aaron Burton | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-08-18 |
| 1902422066 | Tanya Freeman | Counselor | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-06-24 |
| 1548884075 | Kenneth Brown | Social Worker | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-06-01 |
| 1831711134 | Regina Veltri | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-11 |
| 1619599024 | Patrick Brown | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-08 |
| 1629699434 | Autumn Renee Mccraw | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-04 |
| 1841825221 | Brandy Nicole Swift | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679792493 | Letitia Elaine Tierney | Internal Medicine | Familycare Health Center, 116 N. Hills Plaza, Charleston, WV 25387 | 2007-04-24 |
| 1285960856 | Holly R. Murriner | Physician Assistant | 116 Hills Plz, Charleston, WV 25387 | 2009-11-02 |
| 1427661651 | James Michael Adkins | Technician | 1029 Nease Dr, Charleston, WV 25387-1007 | 2020-08-27 |
| 1578964474 | Resilience Home Care Services, LLC | Home Health | 3700 Washington St W, Charleston, WV 25387-1121 | 2014-09-10 |
| 1205448610 | Christiana E Sovine | Technician | 3902 Washington St W, Charleston, WV 25387-1123 | 2020-08-18 |
| 1245841360 | Nellie Mae Ford | Technician | 802 N Hills Dr, Charleston, WV 25387-1230 | 2020-08-12 |
| 1255941316 | Itai Gravely | Technician | 1863 Sugar Creek Dr, Charleston, WV 25387-1344 | 2020-08-04 |
| 1437513538 | Paula Mooney | Social Worker | 862 Hanna Dr, Charleston, WV 25387-1402 | 2016-04-05 |
| 1952649071 | Enact, Inc. | Case Management | 1701 5th Ave Ste 7, Charleston, WV 25387-1900 | 2013-01-24 |
| 1609045400 | Womencare, Inc | Clinic/Center | 1701 5th Ave, Charleston, WV 25387-1900 | 2008-02-26 |
| Find all providers in zip 25387 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1457974511 | Robert B Woods Jr. | Counselor | 3009 Coopers Basin Cir, Charleston, SC 29414-8029 | 2020-05-24 |
| 1841810439 | Elizabeth Chirles | Counselor | 2005 Frampton Ave, Charleston, SC 29412-2013 | 2020-04-23 |
| 1992335301 | Rebecca Kay Kreutner | Counselor | 3 Broad St Ste 205, Charleston, SC 29401-3054 | 2020-01-24 |
| 1124672282 | Haley E Duncan | Counselor | 3 Broad St Ste 203, Charleston, SC 29401-3054 | 2019-07-27 |
| 1609340942 | Tessa Virginia Pegram Trask | Counselor | 507 Savannah Hwy, Charleston, SC 29407-7209 | 2019-01-21 |
| 1588135834 | Amanda Denise Pendry | Counselor | 921 Churchill Cir, Charleston, WV 25314-1710 | 2018-12-16 |
| 1851862031 | Irene Marie Laganchambers | Counselor | 720 Magnolia Rd Ste 2, Charleston, SC 29407-7094 | 2018-12-16 |
| 1750862231 | Anne Chamberlain Frazier | Counselor | 125 Wappoo Creek Dr # A, Charleston, SC 29412-2163 | 2018-08-23 |
| 1457848400 | William Welker | Counselor | 705 S Park Rd, Charleston, WV 25304-2629 | 2018-04-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25387 |
Please comment or provide details below to improve the information on KIMBERLY TILLEY.
| 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.