MS. PATRICIA KOLBERG (NPI# 1114091683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114091683 |
Entity Type | Individual |
Full Name | MS. PATRICIA KOLBERG |
Credential | LMFT |
Practice Address |
550 Main St Ste 1d Diamond Springs CA 95619-9177 |
Mailing Address |
1600 Dashing Ranch Rd Placerville CA 95667-7662 |
Practice Telephone | 5306472684 |
Mailing Telephone | 5306472909 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 33032 | CA | Behavioral Health & Social Service Providers |
Street Address |
550 MAIN ST STE 1D |
City | DIAMOND SPRINGS |
State | CA |
Zip Code | 95619-9177 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265916092 | John Bruce Quantrille | Licensed Vocational Nurse | 555 Arlette Arlette Lane, Diamond Springs, CA 95619 | 2018-09-18 |
1831611763 | Paul Canova Boice | Counselor | 3120 Freeboard Drive, Suite 102, West Sacramento, CA 95619 | 2017-07-12 |
1912397126 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4229 Toyan Dr, Diamond Springs, CA 95619 | 2015-01-26 |
1457699654 | Emma Curtiss | Social Worker | 768 Pleasant Valley Rd., Diamond Springs, CA 95619 | 2013-01-22 |
1568715704 | Cheryl Turnboo | Behavioral Analyst | 337 Griffith Road, Diamond Springs, CA 95619 | 2012-10-25 |
1528341039 | Michaela Renee Johnson | Counselor | 4224 Fowler Ln, Diamond Springs, CA 95619 | 2011-09-21 |
1518178193 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Suite 201, Diamond Springs, CA 95619 | 2007-05-24 |
1760694707 | John Carberry II | Counselor | 6692-b Merchandise Way, Diamond Springs, CA 95619 | 2007-05-03 |
1144343609 | Sierra Child and Family Services | Community/Behavioral Health | 4250 Fowler Ln. Suite 204, Diamond Springs, CA 95619 | 2007-04-09 |
1689790404 | Celia Sabra Mason-douglas | Marriage & Family Therapist | 6201 Enterprise Dr, Diamond Springs, CA 95619 | 2007-03-22 |
Find all providers in zip 95619 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104015882 | Teri Lyn Gelgood | Marriage & Family Therapist | 493 Pleasant Valley Rd, Suite 200, Diamond Springs, CA 95667-5321 | 2007-10-18 |
1659564177 | Nakisha L Bailey | Marriage & Family Therapist | 6201 Enterprise Dr Ste C, Diamond Springs, CA 95619-9482 | 2007-08-20 |
1780807602 | Jennifer Anne Alexander | Marriage & Family Therapist | 4250 Fowler Ln, Suite #204, Diamond Springs, CA 95619-9781 | 2007-04-10 |
1689790404 | Celia Sabra Mason-douglas | Marriage & Family Therapist | 6201 Enterprise Dr, Diamond Springs, CA 95619 | 2007-03-22 |
1639236912 | Laura Lynne Arevalo | Marriage & Family Therapist | 4224 Fowler Ln Ste 201, Diamond Springs, CA 95619-9775 | 2007-01-03 |
1639237076 | Lisa Marie Arnold | Marriage & Family Therapist | 768 Pleasant Valley Rd. Ste. 201, Diamond Springs, CA 95619 | 2006-12-05 |
1215019526 | Mary Ellen Kanze | Marriage & Family Therapist | 768 Pleasant Valley Rd, Suite 304, Diamond Springs, CA 95619-9260 | 2006-10-19 |
1548368772 | Debbie Joanne Walsh | Marriage & Family Therapist | 768 Pleasant Valley Road, Diamond Springs, CA 95619 | 2006-09-20 |
1790889012 | Wise Mind Solutions, Inc | Marriage & Family Therapist | 493 Pleasant Valley Road, Diamond Springs, CA 95619 | 2006-09-08 |
1578173753 | Tommi Sohn | Marriage & Family Therapist | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2020-08-03 |
Find all providers in DIAMOND SPRINGS |
City | DIAMOND SPRINGS |
Zip Code | 95619 |
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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.