KELLY ANNE BASSIN (NPI# 1326517145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326517145 |
| Entity Type | Individual |
| Full Name | KELLY ANNE BASSIN |
| Credential | LMFT |
| Practice Address |
1918 Bonita Ave Berkeley CA 94704-1014 |
| Practice Telephone | 2099807707 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LMFT105552 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1918 BONITA AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275741167 | Altaf A Bhimji | Social Worker | 1918 Bonita Ave, Berkeley, CA 94704-1014 | 2007-05-21 |
| 1558887182 | Katey Nicolai | Psychologist | 1918 Bonita Ave, Berkeley, CA 94704-1014 | 2017-08-15 |
| 1578008710 | Madeline Razavi | Social Worker | 1918 Bonita Ave, Berkeley, CA 94704-1014 | 2016-12-26 |
| 1538559166 | Justin Surachai Tanyavutti | Counselor | 1918 Bonita Ave, Berkeley, CA 94704 | 2015-02-03 |
| 1053687319 | Shari Gleicher | Social Worker | 1918 Bonita Ave, Berkeley, CA 94704-1014 | 2012-03-30 |
| 1902121262 | Kathleen Erin Brady | Social Worker | 1918 Bonita Ave, Berkeley, CA 94704 | 2010-03-30 |
| 1730401514 | Alexander Joseph Lapinski | Psychologist | 1918 Bonita Ave, Berkeley, CA 94704-1014 | 2010-02-22 |
| 1578711248 | Ezrimayr Chioma | Marriage & Family Therapist | 1918 Bonita Ave, Berkeley, CA 94704-1014 | 2008-09-05 |
| 1326228586 | Tracy L Davis | Social Worker | 1918 Bonita Ave, Berkeley, CA 94704-1014 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1871012187 | Brianna Mone'e Barabara Gabriel | Counselor | 1524 Dwight Way, Berkeley, CA 94703-1802 | 2017-09-18 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| 1942721824 | Laya Greyson | Counselor | Po Box 3037, Berkeley, CA 94703-0037 | 2017-06-30 |
| 1851848105 | Martin Silva | Counselor | 2447 Prince St, Berkeley, CA 94705-2021 | 2016-09-03 |
| 1619377793 | Arthur Kleinberg | Counselor | 1918 University Ave # 2b, Berkeley, CA 94704 | 2014-08-26 |
| 1841547346 | Kia Shaun Walton | Counselor | 2223 Martin Luther King Jr. Way, Berkeley, CA 94704 | 2012-08-14 |
| 1659633667 | Rachel Longan | Counselor | 1919 Addison St Ste 301, Berkeley, CA 94704-1143 | 2012-06-14 |
| 1043598360 | Wade Meyer | Counselor | 2000 Hearst Ave Ste 203a, Berkeley, CA 94709-2260 | 2011-08-03 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in BERKELEY | ||||
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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.