KIM LONG (NPI# 1376895664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376895664 |
| Entity Type | Individual |
| Full Name | KIM LONG |
| Credential | CADCA |
| Practice Address |
8330 Lankershim Blvd North Hollywood CA 91605-1615 |
| Mailing Address |
11027 Burbank Blvd North Hollywood CA 91601-2431 |
| Practice Telephone | 8189947454 |
| Mailing Telephone | 8189858323 |
| Mailing Fax Number | 8189854297 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18570206 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508146 | Kim Marie Long | Counselor | 300 W 9th St, Frederick, MD 21701-4541 | 2018-12-04 |
| 1811316862 | Kim Long | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2014-04-07 |
| 1043250194 | Kim T. Long | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-06-07 |
| 1679567358 | Kim O Long | Speech-Language Pathologist | 3160 Central Park W, Toledo, OH 43617-1083 | 2005-09-08 |
| Street Address |
8330 LANKERSHIM BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91605-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336497452 | Cri-help, Inc. | Clinic/Center | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2012-08-21 |
| 1730653965 | Hannah Rebecca Maclaren | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2019-01-22 |
| 1942776398 | Sylvia Garcia | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2018-10-23 |
| 1598258709 | Susan Rhea | Marriage & Family Therapist | 8330 Lankershim Blvd, North Hollywood, CA 91605 | 2018-06-12 |
| 1942707302 | Domingo Diaz | Technician, Other | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2018-04-11 |
| 1235640905 | Emanuel Reyes | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2017-10-20 |
| 1194244103 | Yajaira Monique Alanis | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2017-09-12 |
| 1871012849 | Stephanie Lynn Palmieri | Student in an Organized Health Care Education/Training Program | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2017-09-11 |
| 1215451802 | Jason Stephen D'abrosca | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2017-07-26 |
| 1528598455 | Katharine Winter | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605-1615 | 2017-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558992982 | Dr Fuscaldos Health and Wellness Center Inc | Clinic/Center | 7537 Laurel Canyon Blvd, North Hollywood, CA 91605 | 2020-02-04 |
| 1588191274 | Concord Home Health Care | Home Health | 6824 Radford Ave, Suite 1, North Hollywood, CA 91605 | 2017-05-12 |
| 1487102935 | Crystal Medical Transportation,inc | Non-emergency Medical Transport (VAN) | 8001 Laurel Canyon Blvd Ste 101, N Hollywood, CA 91605 | 2016-09-13 |
| 1891248050 | Teesdale Villa, Inc. | Assisted Living Facility | 7663 Teesdale Avenue, North Hollywood, CA 91605 | 2016-07-25 |
| 1487011623 | Sandra Gutierrez | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605 | 2016-01-19 |
| 1104219849 | Next Door Home Care, Inc. | Home Health | 6829 Lankershim Blvd., #12, North Hollywood, CA 91605 | 2015-03-05 |
| 1427458033 | Normandy Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12914-b Sherman Way, North Hollywood, CA 91605 | 2014-09-02 |
| 1285048645 | Armcare Hospice, Inc. | Hospice Care, Community Based | 7253 Ethel Ave, North Hollywood, CA 91605 | 2014-06-13 |
| 1306183660 | Shadi Rezai | Obstetrics & Gynecology | Valley Community Healthcare, 6801 Coldwater Canyon Avenue, North Hollywood, CA 91605 | 2013-01-07 |
| 1700171139 | Sachiyo Shiraki | Marriage & Family Therapist | 754 Vanscoy Ave., North Hollywood, CA 91605 | 2011-06-14 |
| Find all providers in zip 91605 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902375181 | Wendy M Cordero | Counselor | 6961 Whitsett Ave Apt 20, North Hollywood, CA 91605-5425 | 2018-11-17 |
| 1942711825 | Geoffrey Ryan | Counselor | 5002 Tujunga Ave. #303, North Hollywood, CA 91601 | 2017-10-18 |
| 1508226937 | Justin Mabini | Counselor | 6180 Laurel Canyon Blvd Ste 275, North Hollywood, CA 91606-3215 | 2016-02-26 |
| 1487011623 | Sandra Gutierrez | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605 | 2016-01-19 |
| 1689063646 | Jane Edith Wilson | Counselor | 11027 Bubank Blvd, North Hollywood, CA 91601 | 2015-01-14 |
| 1538428990 | Jill Doreen Gustafson | Counselor | 11120 Acama St, North Hollywood, CA 91602-3025 | 2012-05-04 |
| 1710290531 | Patricia Moreno | Counselor | 7822 Radford Ave, North Hollywood, CA 91605-2515 | 2010-07-21 |
| 1679890537 | Muriel Centeno | Counselor | 6742 Clybourn Ave, 3227, North Hollywood, CA 91606-2260 | 2010-04-30 |
| 1811135866 | I-adarp, Inc. | Counselor | 8330 Lankershim Blvd., North Hollywood, CA 91605 | 2009-01-29 |
| 1750559779 | Total Family Support Clinic | Counselor | 11031 Camarillo St, North Hollywood, CA 91602-1210 | 2008-02-12 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91605 |
Please comment or provide details below to improve the information on KIM LONG.
| 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.