KIMBERLY DENISE LISTER- GUTIERREZ


Address: 303 E 52nd Street, Los Angeles, CA 90011
Phone: (562) 882-3269

KIMBERLY DENISE LISTER- GUTIERREZ (NPI# 1164941183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164941183
Entity Type Individual
Full Name KIMBERLY DENISE LISTER- GUTIERREZ
Practice Address 303 E 52nd Street
Los Angeles
CA 90011
Mailing Address 303 E 52nd St
Los Angeles
CA 90011-4513
Practice Telephone (562) 882-3269
Mailing Telephone 5628823269
Enumeration Date 2017-09-11
Last Update Date 2018-06-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 169743 CA Behavioral Health & Social Service Providers

Office Location

Street Address 303 E 52ND STREET
City LOS ANGELES
State CA
Zip Code 90011

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1245672500 Kellie D Bougard Student in an Organized Health Care Education/Training Program 4920 South Avalon Blvd, Los Angeles, CA 90011 2013-07-26
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952913055 Jose Islas Counselor 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 2020-08-19
1154931491 Delia Maria Cortez Counselor 12133 Clarkson Rd, Los Angeles, CA 90064-3519 2020-08-02
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1780206524 Keisha Whitfield Counselor 1123 W 7th St # 25, Los Angeles, CA 90017-2409 2020-05-14
1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
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1083241988 Rezolve Telemed Counselor 8275 Kirkwood Dr, Los Angeles, CA 90046-1923 2020-03-23
1902439656 Maria Velazquez Counselor 5318 S Crenshaw Blvd, Los Angeles, CA 90043-1810 2020-02-20
1922647569 Ping Sun Counselor 520 S Sepulveda Blvd Ste 200, Los Angeles, CA 90049-3534 2019-12-30
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Competitor

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City LOS ANGELES
Zip Code 90011

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Dataset Information

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.

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