SHIRLEY KINGHORN (NPI# 1134264583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134264583 |
| Entity Type | Individual |
| Full Name | SHIRLEY KINGHORN |
| Practice Address |
714 W. Main St Grass Valley CA 95945 |
| Practice Telephone | 5304779800 |
| Practice Fax Number | 5304779803 |
| Mailing Telephone | 5304779800 |
| Mailing Fax Number | 5304779803 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT 91071 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF63505 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF 45626 | Behavioral Health & Social Service Providers |
| Street Address |
714 W. MAIN ST |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750706743 | Laura Ann Deichen | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-02-27 |
| 1023433463 | Mia Davis | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-02-21 |
| 1598189482 | Kalolaine T. Vavne Lavylo | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-02-12 |
| 1003230996 | Corinne Elizabeth Ove | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-02-12 |
| 1447674833 | Nicole Dalene Dawson | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-02-06 |
| 1104249739 | Rachael Mae Shelton | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-02-03 |
| 1043633779 | Joseph R Beauchamp | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-01-31 |
| 1992127690 | Steven Thomas Bell | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-01-15 |
| 1043632763 | Christopher Jordan Ingram | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2014-01-15 |
| 1013346444 | Keegan Jones | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main St, Grass Valley, CA 95945 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| 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 |
|---|---|---|---|---|
| 1932740289 | Julie Quillen | Marriage & Family Therapist | 960 Mccourtney Rd Ste E, Grass Valley, CA 95949-7423 | 2019-10-07 |
| 1184288516 | Once Upon A Time Family Therapy Center | Marriage & Family Therapist | 696 Whiting St, Grass Valley, CA 95945-7543 | 2019-05-01 |
| 1679099733 | Windy Dipietro | Marriage & Family Therapist | 11753 Hidden Valley Rd, Grass Valley, CA 95949-8706 | 2017-08-20 |
| 1811387160 | California Mental Health | Marriage & Family Therapist | 120 N Auburn St, Ste 212, Grass Valley, CA 95945-6277 | 2015-01-26 |
| 1457754020 | Lovie Bucknell | Marriage & Family Therapist | 412 E Main St Ste D, Grass Valley, CA 95945-6533 | 2014-09-26 |
| 1538599337 | Brooke N Stone | Marriage & Family Therapist | 944 Mccourtney Rd Ste C, Grass Valley, CA 95949-7401 | 2013-11-15 |
| 1669733119 | Amelia C Gough | Marriage & Family Therapist | 960 Mccourtney Rd, Grass Valley, CA 95949-7422 | 2012-05-31 |
| 1679807465 | Jennifer Lynn Hoffman | Marriage & Family Therapist | 563 Brunswick Rd Ste 9, Grass Valley, CA 95945-9544 | 2009-09-25 |
| 1679702484 | Sierra Therese Sparks | Marriage & Family Therapist | 673 S Auburn St, Grass Valley, CA 95945-7576 | 2009-07-14 |
| 1740414846 | John Cox | Marriage & Family Therapist | 17183 Retrac Way, Christian Encounter Ministries, Grass Valley, CA 95949-9795 | 2009-05-05 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.