MRS. KELLI FORRESTER (NPI# 1366847626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366847626 |
| Entity Type | Individual |
| Full Name | MRS. KELLI FORRESTER |
| Credential | MSW-INTERN |
| Practice Address |
490 Chadbourne Rd Suite A Fairfield CA 94534-9613 |
| Practice Telephone | 7074220464 |
| Practice Fax Number | 7074220465 |
| Mailing Telephone | 7074220464 |
| Mailing Fax Number | 7074220465 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |
| 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 |
| Street Address |
490 CHADBOURNE RD SUITE A |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043279201 | Myrha Ohayon | Social Worker | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2006-03-17 |
| 1700217908 | Tiffany Lopez Solis | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2013-12-12 |
| 1972930485 | Tessa Searles | Social Worker | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2013-09-28 |
| 1245665561 | Carol Louise Breiling | Counselor | 490 Chadbourne Rd, Suite C, Fairfield, CA 94534-9613 | 2013-09-05 |
| 1174956692 | Katherine Andrea Morales | Community Health Worker | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2013-08-20 |
| 1720424351 | Children's Nurturing Project | Community/Behavioral Health | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2013-05-22 |
| 1801175237 | Karen Lynn Cunningham | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2011-08-16 |
| 1588942163 | Rosana M Aguilar | Counselor | 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 | 2011-07-29 |
| 1083902480 | Rita Mccampbell | Counselor | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2011-07-19 |
| 1437450418 | Youth and Family Services | Community/Behavioral Health | 490 Chadbourne Rd, Suite C, Fairfield, CA 94534-9613 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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|---|---|---|---|---|
| 1184273781 | Hope Counseling, LLC | Counselor | 87 Ruane St, Fairfield, CT 06824-5864 | 2019-09-05 |
| 1376190504 | Megan Jane Earp | Counselor | 500 N 3rd St Ste 209, Fairfield, IA 52556-2483 | 2019-08-22 |
| 1083272561 | Keturah Walker | Counselor | 5098 Rowe Dr, Fairfield, CA 94533-6590 | 2019-05-30 |
| 1093278525 | Rhonda M Bogenschutz | Counselor | 311 Nilles Rd Ste A, Fairfield, OH 45014-2621 | 2019-04-11 |
| 1023501525 | Isaac Higgins | Counselor | 1234 Empire St # 1500, Fairfield, CA 94533-5711 | 2018-06-08 |
| 1851899348 | Caitlin Asels | Counselor | 1234 Empire St # 2130, Fairfield, CA 94533-5711 | 2018-01-30 |
| 1700314606 | Fairfield County Counseling | Counselor | 60 Katona Dr Ste 22, Fairfield, CT 06824-3544 | 2017-05-23 |
| 1285181552 | Anthony Tucci | Counselor | 2209 Concord Ct, Fairfield, CA 94533-5858 | 2016-09-05 |
| 1003274515 | Susan Myunghee Choi | Counselor | 470 Chadbourne Rd. Suite E, Aldea Children & Family Services, Fairfield, CA 94534-9600 | 2016-01-29 |
| 1588032239 | Whitney Ann Walker | Counselor | 2100 W Texas St, Fairfield, CA 94533-4468 | 2015-09-11 |
| Find all providers in FAIRFIELD | ||||
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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.