KELLY LOVE MEYER (NPI# 1477087518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477087518 |
| Entity Type | Individual |
| Full Name | KELLY LOVE MEYER |
| Credential | CAS |
| Practice Address |
2801 Johnson Ave San Luis Obispo CA 93401-5864 |
| Practice Telephone | 8052350059 |
| Mailing Telephone | 8052350059 |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C10251214 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595022 | Kelly J Meyer | Social Worker | 46 Rockville Ave, Rockville Centre, NY 11570-5535 | 2020-07-12 |
| 1972151314 | Kelly J Meyer | Physician Assistant | 2900 W Oklahoma Ave Ste 414, Milwaukee, WI 53215-4330 | 2019-08-28 |
| 1861052862 | Kelly Meyer | Home Health Aide | 3698 State Highway 241, Afton, WY 83110-9758 | 2019-06-20 |
| 1710442827 | Kelly Putman Meyer | Physical Therapist | 2575 Harrison Ave, Panama City, FL 32405-4458 | 2019-02-02 |
| 1043795974 | Kelly Morgan Meyer | Speech-Language Pathologist | 25432 Colligan St, Manhattan, IL 60442-1419 | 2018-09-26 |
| 1972083475 | Kelly Leigh Meyer | Occupational Therapy Assistant | Port Lavaca Nursing and Rehabilitation Center, 524 Village Rd, Port Lavaca, TX 77979 | 2018-08-15 |
| 1134653561 | Kelly Meyer | Specialist/Technologist | 30 Edgemere Hill Rd, Catskill, NY 12414 | 2017-04-12 |
| 1144682238 | Kelly Meyer | Licensed Practical Nurse | N10971 Yaeger Rd, Clintonville, WI 54929-9036 | 2016-03-28 |
| 1760944151 | Kelly Meyer | Physician Assistant | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414-3188 | 2019-04-03 |
| 1720583982 | Kelly Meyer | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2018-03-28 |
| Street Address |
2801 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023431087 | Pamela Westphal | Counselor | 2494 Pennington Creek Road, San Luis Obispo, CA 93401-7222 | 2014-01-28 |
| 1043414774 | Frank Anthony Warren | Counselor | 2945 Mcmillan Ave Ste 136, San Luis Obispo, CA 93401-6774 | 2007-06-14 |
| 1144357054 | Kirk Ernest Estes | Counselor | 285 South St, Suite M, San Luis Obispo, CA 93401-5037 | 2007-02-27 |
| 1508993684 | Michelle Lynn Lynch | Counselor | 285 South St., Suite M, San Luis Obispo, CA 93401 | 2007-02-27 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1326522335 | Hobert Gabuat | Counselor | 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401-6771 | 2018-09-17 |
| 1750873600 | Austin Martin Lee | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2018-06-05 |
| 1760987556 | Paloma Hernandez Basulto | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2018-03-26 |
| 1841793874 | Sheena Anne Jones | Counselor | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2018-03-15 |
| 1700391679 | Daisy Cordova | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2017-12-13 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on KELLY LOVE MEYER.
| 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.