DAN LESLIE KENDRICK (NPI# 1518453752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518453752 |
| Entity Type | Individual |
| Full Name | DAN LESLIE KENDRICK |
| Practice Address |
709 3rd Ave Longmont CO 80501-5926 |
| Mailing Address |
635 Gooseberry Dr Unit 1506 Longmont CO 80503-6446 |
| Practice Telephone | 3034859086 |
| Mailing Telephone | 3034859086 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NLC.0008201 | CO | Behavioral Health & Social Service Providers |
| Street Address |
709 3RD AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821209099 | Kathleen A Cundall | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2007-05-26 |
| 1013556679 | John Vandegrift | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2019-12-31 |
| 1780221820 | Erica Joy Besen | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2019-12-09 |
| 1649756768 | Elizabeth Kate Kendrick | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2018-07-11 |
| 1104339050 | Jeremy Hamann | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2017-11-14 |
| 1225576481 | Aspen Counseling Group | Community/Behavioral Health | 709 3rd Ave, Longmont, CO 80501-5926 | 2017-02-08 |
| 1851835557 | Akasha Counseling | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2016-12-14 |
| 1912316993 | Mary Rose | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2014-08-04 |
| 1154745883 | Rose Lydia Ayars | Social Worker | 709 3rd Ave, Longmont, CO 80501-5926 | 2014-02-17 |
| 1194090902 | Johanna Kove Lindau | Counselor | 709 3rd Ave, Longmont, CO 80501-5926 | 2012-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696972 | Rachel Christine Cheatle | Counselor | 320 Sumner St, Longmont, CO 80501-4831 | 2020-10-12 |
| 1982225413 | Yamy Skocen | Counselor | 805 Summer Hawk Dr Apt Y145, Longmont, CO 80504-8828 | 2020-05-06 |
| 1659902070 | Brittany Foust | Counselor | 4157 Nelson Rd, Longmont, CO 80503-9005 | 2020-02-04 |
| 1033749965 | Allison Rita Novak | Counselor | 1225 Ken Pratt Blvd Unit 206, Longmont, CO 80501-9017 | 2020-01-20 |
| 1588218564 | Brandi Dawn Garner | Counselor | 1813 Spruce Ave, Longmont, CO 80501-4755 | 2019-07-29 |
| 1114585437 | Andrea Anderson | Counselor | 5629 Prospect Rd, Longmont, CO 80503-9047 | 2019-06-01 |
| 1578024915 | Caitlyn Alexandra Walker | Counselor | 515 Coffman St, Longmont, CO 80501-5455 | 2019-03-28 |
| 1629535240 | Jay E Valusek | Counselor | 3126 Spinnaker Dr, Longmont, CO 80503-7866 | 2019-03-01 |
| 1417425984 | Natalie Jean Teeters | Counselor | 1715 Iron Horse Dr Ste 250-5, Longmont, CO 80501-9753 | 2018-11-02 |
| 1912481631 | Paula De Oliveira Santos | Counselor | 1361 Francis St Ste 201d, Longmont, CO 80501-2545 | 2018-09-18 |
| Find all providers in LONGMONT | ||||
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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.