KIMBERLY WHITEHEAD (NPI# 1265706519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265706519 |
| Entity Type | Individual |
| Full Name | KIMBERLY WHITEHEAD |
| Credential | M. ED |
| Practice Address |
3643 Walton Way Ext Bldg 4 Augusta GA 30909-4507 |
| Practice Telephone | 7063641404 |
| Practice Fax Number | 7063641419 |
| Mailing Telephone | 7063641404 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992214274 | Kimberly Dawn Whitehead | Behavior Technician | 2390 Kay Ave, Battle Mountain, NV 89820-4052 | 2017-09-29 |
| Street Address |
3643 WALTON WAY EXT BLDG 4 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546190 | Paul Andrew Walters IIi | Psychologist | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2005-08-29 |
| 1952879553 | Delma Jimenez | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2018-11-13 |
| 1457834897 | Vanesha Brown | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2018-09-12 |
| 1699281568 | Peggy Arlene Harmon | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-12-14 |
| 1235644139 | Jessica Wiley | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-12-13 |
| 1154845634 | Tatianna S Jones | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-07-27 |
| 1386176642 | Adebayo Onabule | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-28 |
| 1407387665 | Raven Littlejohn | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-21 |
| 1649701780 | Jasmine Patterson | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-21 |
| 1295274389 | Alberto Benitez | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431057 | Whitney O'connor | Counselor | 1232 Hickman Rd, Augusta, GA 30904-4733 | 2020-06-15 |
| 1093339186 | Kari Viola-brooke | Counselor | 2707 Downing St, Augusta, GA 30909-3734 | 2020-06-03 |
| 1477182541 | Wanda Joy Roberts | Counselor | 250 Milledge Rd, Augusta, GA 30904-3577 | 2020-04-02 |
| 1376182527 | Colisha Marie Amos | Counselor | 1761 Kissingbower Rd, Augusta, GA 30904-6615 | 2020-01-04 |
| 1730746009 | Kimberly Bridi | Counselor | 3351 Wrightsboro Rd Ste 301, Augusta, GA 30909-2838 | 2019-05-22 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1396226445 | Suzanah Richelle Schoen | Counselor | 2821 South Brookside Drive, Augusta, KS 67010-2433 | 2018-08-27 |
| 1891203345 | Community Service Board of East Central Georgia | Counselor | 1253 Greene St, Augusta, GA 30901-2127 | 2018-01-18 |
| 1851826267 | Denise Finney | Counselor | 2820 Hillcreek Dr, Suite A, Augusta, GA 30909-5628 | 2017-04-23 |
| 1043757818 | Marc Story | Counselor | 315 W 4th St Apt 6, Augusta, KY 41002-1089 | 2017-01-31 |
| Find all providers in AUGUSTA | ||||
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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.