KETLYN R HENRY (NPI# 1487908703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487908703 |
| Entity Type | Individual |
| Full Name | KETLYN R HENRY |
| Credential | MA |
| Practice Address |
830 S Olive St Los Angeles CA 90014-3006 |
| Practice Telephone | 2132130581 |
| Practice Fax Number | 2132130580 |
| Mailing Telephone | 2132130581 |
| Mailing Fax Number | 2132130580 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
830 S OLIVE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90014-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437376563 | Found Inc | Public Health or Welfare | 830 S Olive St, Los Angeles, CA 90014-3006 | 2007-04-19 |
| 1811333719 | Vindell T. Brunson | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2013-05-17 |
| 1336584903 | Nicole Koontz | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2013-05-08 |
| 1164773313 | Christina Carbajal | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2012-09-27 |
| 1447524988 | Shawn Mcguire | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2012-03-01 |
| 1457642860 | Margaret A Hernandez | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2011-04-20 |
| 1578852539 | Vilfredo Aguirre | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2011-03-30 |
| 1922397165 | Elizabeth A. Acosta | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2011-03-28 |
| 1477852143 | Leonard Morse | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2011-03-21 |
| 1275835753 | Antoinette Williams | Counselor | 830 S Olive St, Los Angeles, CA 90014-3006 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1770947525 | Dr Jeremy Martinez Md A Professional Corporation | Clinic/Center | 631-a Maple Avenue, Los Angeles, CA 90014 | 2016-04-07 |
| 1578924536 | Jane Shomof | Marriage & Family Therapist | 724 S Spring St #1102, Elements Therapy, Los Angeles, CA 90014 | 2016-03-17 |
| 1588069769 | Los Angeles County Department of Mental Health | Clinic/Center | 631-c Maple Ave, Los Angeles, CA 90014 | 2014-10-29 |
| 1720499619 | County of Los Angeles | Clinic/Center | 242 East 6th Street, Los Angeles, CA 90014 | 2014-05-13 |
| 1235562703 | Savonn Tep | Counselor | 631 Maple Ave Ste C, Los Angeles, CA 90014 | 2013-08-19 |
| 1760759161 | Alice Winther | Psychologist | 617 S. Olive St., Suite 510, Los Angeles, CA 90014 | 2011-11-30 |
| 1265723068 | Shemetra Lachell James | Student in an Organized Health Care Education/Training Program | 617 S. Olive St. Suite #806, Los Angeles, CA 90014 | 2011-04-27 |
| 1558533646 | Leland Scott Frazier | Psychologist | 617 S Olive St, Suite 510, Los Angeles, CA 90014 | 2008-03-28 |
| 1285846287 | United Paratransit | Non-emergency Medical Transport (VAN) | 728 S Hill St, Ste 100, Los Angeles, CA 90014 | 2007-05-04 |
| Find all providers in zip 90014 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90014 |
Please comment or provide details below to improve the information on KETLYN R HENRY.
| 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.