KIMBERLY BLACKHAM (NPI# 1124542774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124542774 |
| Entity Type | Individual |
| Full Name | KIMBERLY BLACKHAM |
| Credential | PH.D., LMFT |
| Practice Address |
1 West Broad Street 11th Floor Bethlehem PA 18018-1801 |
| Mailing Address |
4502 Homestead Dr Nazareth PA 18064-8996 |
| Practice Telephone | 3367496596 |
| Mailing Telephone | 3367496596 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF000920 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1 WEST BROAD STREET 11TH FLOOR |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| 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 |
|---|---|---|---|---|
| 1710089206 | Patience Dean Stevenson | Marriage & Family Therapist | 1754 W Broad St, Bethlehem, PA 18018-3300 | 2006-09-04 |
| 1063980639 | Candyce Brownc | Marriage & Family Therapist | 90 S Commerce Way Ste 300, Bethlehem, PA 18017-8611 | 2018-11-13 |
| 1285145656 | April Gabriel-ferretti | Marriage & Family Therapist | 35 E Elizabeth Ave Ste 32, Bethlehem, PA 18018-6505 | 2017-10-12 |
| 1871929604 | Kathy A Dowling | Marriage & Family Therapist | 21 Arch Bridge Rd, Bethlehem, CT 06751-1612 | 2013-09-25 |
| 1982954723 | Julie L Iwanicki | Marriage & Family Therapist | 264 E Broad St, Bethlehem, PA 18018-6278 | 2012-09-19 |
| 1114250396 | Julie A. Leininger | Marriage & Family Therapist | 2045 Westgate Dr, Bethlehem, PA 18017-7480 | 2009-09-06 |
| 1104055268 | Gretchen M Moehrle | Marriage & Family Therapist | 308 E Broad St, Bethlehem, PA 18018-6311 | 2009-07-10 |
| 1386852945 | Francis Stephen Gaal | Marriage & Family Therapist | 146 W Broad St, Bethlehem, PA 18018-3649 | 2007-05-18 |
| 1740337302 | Carol Ann Wikerd | Marriage & Family Therapist | 3005 Brodhead Rd, Suite 101, Bethlehem, PA 18020-9201 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033401 | Scott A. Schmidt | Marriage & Family Therapist | 39 W Main Avenue, Myerstown, PA 17067 | 2020-11-04 |
| 1235738592 | Julia Mcgrath | Marriage & Family Therapist | 170 Cotton St Apt 205, Philadelphia, PA 19127-1445 | 2020-10-19 |
| 1700484516 | Sarah Macnerland-barak | Marriage & Family Therapist | 6508 Interlaken Ext, Mc Donald, PA 15057-3582 | 2020-10-14 |
| 1629684832 | Jennifer Shortelle | Marriage & Family Therapist | 200 N 16th St Apt 1901, Philadelphia, PA 19102-1211 | 2020-09-22 |
| 1699381442 | Wendell H Scanterbury | Marriage & Family Therapist | 7750 Clements Rd, Wyncote, PA 19095-2304 | 2020-09-17 |
| 1255946687 | Joanna Norris | Marriage & Family Therapist | 3855 Blair Mill Rd Apt 246k, Horsham, PA 19044-2892 | 2020-09-11 |
| 1588279335 | Megan Lynn Will | Marriage & Family Therapist | 54 N Penryn Rd, Manheim, PA 17545-9326 | 2020-09-09 |
| 1336754225 | Sage Regina | Marriage & Family Therapist | 1533 S Bouvier St, Philadelphia, PA 19146-4745 | 2020-09-09 |
| 1427662493 | Taryn Cain-strobel | Marriage & Family Therapist | 42 E Front St Ofc 4, Media, PA 19063-2942 | 2020-09-07 |
| 1376157057 | Charmaine Ensinger | Marriage & Family Therapist | 338 Mercy St, Philadelphia, PA 19148-2632 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.