KELLIE ROSE HARRISON (NPI# 1063045490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063045490 |
| Entity Type | Individual |
| Full Name | KELLIE ROSE HARRISON |
| Practice Address |
5870 Arlington Ave Riverside CA 92504-2037 |
| Practice Telephone | 9516836596 |
| Mailing Telephone | 9516836596 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1376820120 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396264735 | Kellie Ann Harrison | Counselor | 270 Carpenter Dr Ste 400, Atlanta, GA 30328-4933 | 2017-09-18 |
| Street Address |
5870 ARLINGTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144248410 | Violeta M De Jesus | Internal Medicine | 5870 Arlington Ave, Riverside, CA 92504 | 2006-07-17 |
| 1659979490 | Stefanie Michelle Rodriguez | Marriage & Family Therapist | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-10-14 |
| 1245847185 | Marlene Naranjo | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-09-24 |
| 1053927335 | Samantha Navarro | Social Worker | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-09-22 |
| 1326667486 | Terry Lynn Crawford | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-04-09 |
| 1053949149 | Ana L Navarro | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-04-01 |
| 1194350439 | Allison England | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-03-06 |
| 1992330211 | Evelynn Verenizee Rojo | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-03-06 |
| 1033744487 | Anthony Joseph Herrera Jr. | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-03-05 |
| 1538709217 | Debra Gean Brennan | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884248 | Jose G. Cruz Rodriguez | Counselor | 66 Planet Ave, Riverside, RI 02915-2172 | 2020-09-02 |
| 1124585500 | Cesar Quintana | Counselor | 7177 Brockton Ave Ste 444, Riverside, CA 92506-2635 | 2019-02-21 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750895298 | Tanisha Jordan Balogun | Counselor | 17270 Roosevelt St # 304, Riverside, CA 92508-9523 | 2017-11-20 |
| 1790207058 | Albert Anthony Silva | Counselor | 80 Cove St, Riverside, RI 02915-3637 | 2017-07-07 |
| 1972040061 | Tim O'connell | Counselor | 2085 Rustin Ave Bldg 1, Riverside, CA 92507-2498 | 2017-01-26 |
| 1215397757 | Renee Machado | Counselor | 5484 Cedar St, Riverside, CA 92509-3746 | 2016-02-25 |
| 1831561299 | Alysia Webb | Counselor | 11359 Dole Ct, Riverside, CA 92505-2353 | 2015-10-26 |
| 1053796110 | Jessica Anne Pellegrin | Counselor | 3576 Arlington Ave Suite 102 & 104, Riverside, CA 92506-3907 | 2015-07-29 |
| 1346632379 | Jessica Molina | Counselor | 6860 Brockton Ave # 9, Riverside, CA 92506-3821 | 2015-02-27 |
| Find all providers in RIVERSIDE | ||||
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| 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.