KHALA BUTLER (NPI# 1306201702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306201702 |
| Entity Type | Individual |
| Full Name | KHALA BUTLER |
| Practice Address |
572 N Arrowhead Ave #200 San Bernardino CA 92401-1251 |
| Practice Telephone | 9099132992 |
| Mailing Telephone | 9099132992 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
572 N ARROWHEAD AVE #200 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870556 | Kenneth Lillard | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2007-02-21 |
| 1316545965 | Rachel Jeanette Lomeli | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-10-15 |
| 1033722434 | Marjorie Fabiola Rendon | Student in an Organized Health Care Education/Training Program | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-08-25 |
| 1093336356 | Adrienne Denise Green | Community Health Worker | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-04-28 |
| 1245861483 | Matthew Duncan | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-27 |
| 1629608229 | Anthony Manuel Paez | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-22 |
| 1275163917 | Dyanna Llamas | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-22 |
| 1821635053 | Eternity Mimiko Veney | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-12-06 |
| 1174160436 | Juan Jose Miranda | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-12-05 |
| 1417503525 | Yessica Iturbide | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| Find all providers in zip 92401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1518502301 | Georgina Centeno | Peer Specialist | 780 Esat Gilbert St, San Bernardino, CA 92415-0001 | 2019-11-15 |
| 1063920973 | Arneta Brown | Peer Specialist | 658 E Brier Dr, San Bernardino, CA 92415-0928 | 2018-01-12 |
| 1619589140 | Michelle Eileen Koperski | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-08-17 |
| 1518598879 | Denise Ybarra | Peer Specialist | 104 W 4th St, San Bernardino, CA 92415-0035 | 2020-01-27 |
| 1649818055 | Sidney Untal Suarez Jr. | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2019-12-16 |
| 1912543760 | Elsie Renee Rollins | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-11-26 |
| 1841836145 | Noe Zepeda | Peer Specialist | 351 N Mt View Ave, San Bernardino, CA 92415-0001 | 2019-11-21 |
| 1265077341 | Demario O'ryan Dunn | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| 1740825827 | Cristina Guerra | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
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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.