KIMBERLY M AZEVEDO (NPI# 1316437056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316437056 |
| Entity Type | Individual |
| Full Name | KIMBERLY M AZEVEDO |
| Credential | LMFTA |
| Practice Address |
1903 N Harrison Ave Ste 201 Cary NC 27513-3093 |
| Practice Telephone | 9196249568 |
| Practice Fax Number | 9194047124 |
| Mailing Telephone | 9196249568 |
| Mailing Fax Number | 9194047124 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 12088A | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1513 Walnut St Ste 215, Cary, NC 275115900 | 9199091230 |
| Street Address |
1903 N HARRISON AVE STE 201 |
| City | CARY |
| State | NC |
| Zip Code | 27513-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537210 | Azevedo Family Psychology, Pa | Marriage & Family Therapist | 1903 N Harrison Ave Ste 201, Cary, NC 27513-3093 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| 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 |
|---|---|---|---|---|
| 1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
| 1588279889 | Deborah Bell | Marriage & Family Therapist | 119 Sw Maynard Rd, Cary, NC 27511-4472 | 2020-09-14 |
| 1467066753 | Geo'quana W Mcdougal | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 | 2020-09-03 |
| 1437784220 | Andrew Mocete | Marriage & Family Therapist | 140 Preston Executive Dr Ste 100l, Cary, NC 27513-8488 | 2020-03-11 |
| 1588220891 | Sara Stutznegger Passey | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 206-5, Cary, NC 27511-4562 | 2019-05-13 |
| 1861974131 | Tasha Ann Cadet | Marriage & Family Therapist | 235 Michigan Ave, Cary, NC 27519 | 2018-09-04 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1295217628 | Stacey Janette Wilson | Marriage & Family Therapist | 235 Michigan Avenue, Cary, NC 27519 | 2018-09-01 |
| 1063929925 | Meredith Keen | Marriage & Family Therapist | 130 Iowa Ln Ste 101, Cary, NC 27511 | 2018-01-01 |
| 1366958324 | Redonno Carmon | Marriage & Family Therapist | 110 Iowa Ln, Cary, NC 27511-4493 | 2017-12-28 |
| Find all providers in CARY | ||||
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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.