MR. KIP LEAKE (NPI# 1558592881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558592881 |
| Entity Type | Individual |
| Full Name | MR. KIP LEAKE |
| Practice Address |
3468 Mt Diablo Blvd Suite B201 Lafayette CA 94549-3957 |
| Practice Telephone | 9252975196 |
| Mailing Telephone | 9252975196 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 83312 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3468 MT DIABLO BLVD SUITE B201 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134103245 | Jill Marie West | Dietitian, Registered | 3468 Mt Diablo Blvd, Suite B-201, Lafayette, CA 94549-3957 | 2005-12-01 |
| 1881144855 | Abby Holland | Psychologist | 3468 Mt Diablo Blvd, Suite B 201, Lafayette, CA 94549-3957 | 2016-10-13 |
| 1003369489 | Pierre Francois Vilanoba | Marriage & Family Therapist | 3468 Mt Diablo Blvd, Lafayette, CA 94549 | 2016-08-02 |
| 1346614963 | Lafayette Physical Therapy, Inc. | Physical Therapist | 3468 Mt Diablo Blvd, Suite B110, Lafayette, CA 94549-3957 | 2015-11-19 |
| 1316313604 | Brianna Kendra Munson Braun | Physical Therapist | 3468 Mt Diablo Blvd, Suite B110, Lafayette, CA 94549-3957 | 2015-08-20 |
| 1598173536 | Ines Vaniman | Marriage & Family Therapist | 3468 Mt Diablo Blvd, Suite B201, Lafayette, CA 94549 | 2014-07-22 |
| 1710307863 | Alison Clark | Physical Therapist | 3468 Mt Diablo Blvd, Lafayette, CA 94549-3957 | 2014-04-16 |
| 1912341827 | Skylohr Sean Taylor | Physical Therapist | 3468 Mt Diablo Blvd, Suite B110, Lafayette, CA 94549-3957 | 2013-04-22 |
| 1164763561 | Christina Renee Eschborn | Physical Therapist | 3468 Mt Diablo Blvd, B110, Lafayette, CA 94549-3957 | 2013-03-09 |
| 1811256894 | Meri Levy | Marriage & Family Therapist | 3468 Mt Diablo Blvd, Suite B201, Lafayette, CA 94549-3957 | 2012-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198103 | Emily E Zettner | Marriage & Family Therapist | 3470 Mt Diablo Blvd Ste A200, Lafayette, CA 94549-3985 | 2020-09-11 |
| 1275168874 | Haley Hewitt | Marriage & Family Therapist | 914 Dewing Ave, Lafayette, CA 94549-4209 | 2020-03-04 |
| 1487207916 | Audrey Rose Majerczak | Marriage & Family Therapist | 3470 Mt Diablo Blvd Ste B200, Lafayette, CA 94549-7195 | 2019-07-23 |
| 1235635814 | Jessica Foreman | Marriage & Family Therapist | 1602 W Pinhook Rd Ste 100a, Lafayette, LA 70508-3735 | 2018-04-03 |
| 1649626136 | Daharb Counseling | Marriage & Family Therapist | 505 Zenith Ave, Lafayette, CO 80026-3105 | 2016-05-13 |
| 1619355872 | Cindy Rasicot | Marriage & Family Therapist | 3391 Sweet Dr, Lafayette, CA 94549-5223 | 2015-05-08 |
| 1578961330 | Joseph Bentz | Marriage & Family Therapist | 1 Arbor Way, Lafayette, CA 94549-3304 | 2014-12-10 |
| 1720412430 | Janelle Brady | Marriage & Family Therapist | 1080 Carol Ln., Suite #280, Lafayette, CA 94549 | 2013-08-29 |
| 1326318551 | Laura L Wittenberg | Marriage & Family Therapist | 3704 Mt Diablo Blvd Ste 203, Lafayette, CA 94549-3618 | 2012-01-04 |
| 1770860652 | Debra Williams | Marriage & Family Therapist | 707 S Public Rd, Lafayette, CO 80026-2125 | 2011-11-07 |
| Find all providers in LAFAYETTE | ||||
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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.