KEVIN JOHN REILLY (NPI# 1225301799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225301799 |
| Entity Type | Individual |
| Full Name | KEVIN JOHN REILLY |
| Practice Address |
341 Irwin Ln Santa Rosa CA 95401-5603 |
| Mailing Address |
210 South Delacey Avenue Suite 110 Pasadena CA 91105 |
| Practice Telephone | 7073601500 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 84234 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538342373 | Kevin D. Reilly | Pharmacist | 1792 N Goodman St, Rochester, NY 14609-1036 | 2007-12-16 |
| 1427189323 | Kevin Patrick Reilly | Chiropractor | 1245 W 5th Ave, Columbus, OH 43212-2507 | 2007-03-09 |
| 1376674663 | Kevin Edward Reilly | Dentist | 650 Chase Parkway, Waterbury, CT 06708 | 2007-03-08 |
| 1427067685 | Kevin Donald Reilly | Physical Therapist | 999 Willamette St, Eugene, OR 97401-3112 | 2006-08-05 |
| 1528087244 | Kevin J Reilly | Clinical Neuropsychologist | 601 East Hampden Avenue, Suite 420, Englewood, CO 80113 | 2006-07-19 |
| 1700856838 | Kevin M Reilly | Dentist | 5507 Nesconset Hwy, Suite 23, Mount Sinai, NY 11766-2031 | 2006-01-23 |
| 1710394929 | Kevin Steven Reilly | Specialist/Technologist | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2014-07-21 |
| 1528497278 | Kevin Reilly | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2013-11-04 |
| 1962754804 | Kevin D Reilly | Physician Assistant | 217 Hillcrest St, Orlando, FL 32801-1211 | 2012-10-02 |
| 1073658910 | Kevin J Reilly | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2007-02-20 |
| Street Address |
341 IRWIN LN |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437268166 | Gala Patrice Goodwin | Social Worker | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2006-08-29 |
| 1982203808 | Marina Nojima | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2020-10-21 |
| 1992339972 | Abigail Cruz Estupinan | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2020-02-27 |
| 1801435102 | Scott Isaac | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2020-01-03 |
| 1043863996 | Alejandra Delagua | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2019-07-19 |
| 1457841918 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2018-05-10 |
| 1528575917 | Hanna Asfaw | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2018-01-07 |
| 1720593718 | Wesley Hamper | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2017-12-12 |
| 1447790464 | Duncan Collins | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2017-02-24 |
| 1912449794 | Sophie Glogovac-smith | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2016-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1386269918 | Debra Gold | Marriage & Family Therapist | 835 Piner Rd, Santa Rosa, CA 95403-2063 | 2020-06-09 |
| 1619590700 | Cameron Craig Lutchansky | Marriage & Family Therapist | 2235 Mercury Way Ste 240, Santa Rosa, CA 95407-5443 | 2020-05-22 |
| 1689294498 | Pamela Jo Peringer | Marriage & Family Therapist | 2345 Morningside Cir, Santa Rosa, CA 95405-9132 | 2020-04-22 |
| 1467004028 | Megan Barajas | Marriage & Family Therapist | 3440 Mendocino Ave, Santa Rosa, CA 95403-2221 | 2019-07-14 |
| 1275193674 | Marie Romano | Marriage & Family Therapist | 3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274 | 2019-06-18 |
| 1851956932 | Amy Theodore | Marriage & Family Therapist | 2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 95404-5667 | 2019-05-05 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1114413952 | Jordan Morrison | Marriage & Family Therapist | 1260 N Dutton Ave Ste 230, Santa Rosa, CA 95401-7161 | 2018-07-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1174012710 | Humanidad Therapy and Education Services | Marriage & Family Therapist | 95 Montgomery Dr Ste 112, Santa Rosa, CA 95404-6617 | 2018-05-09 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on KEVIN JOHN REILLY.
| 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.