KIMBERLY MARIE MASTERS (NPI# 1619375250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619375250 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIE MASTERS |
| Credential | M.A., L.P.C.C. |
| Practice Address |
3548 Bryant Ave S Minneapolis MN 55408 |
| Mailing Address |
7112 Harriet Ave Richfield MN 55423-3062 |
| Practice Telephone | 6128228227 |
| Practice Fax Number | 6128254204 |
| Mailing Telephone | 6125782502 |
| Mailing Fax Number | 6516391718 |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC00851 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3490 Lexington Ave N, Suite 305, Shoreview, MN 551268074 | 6516390942 | 6516391718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548532518 | Kimberly Ruth Masters | Registered Nurse | 1101 Veterans Dr # 118, Lexington, KY 40502-2235 | 2012-02-06 |
| 1336543362 | Kimberly Masters | General Practice | 17 Toy St, Greenville, SC 29601-3122 | 2014-10-20 |
| Street Address |
3548 BRYANT AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902807886 | Ann P Gilligan | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2005-08-02 |
| 1316553209 | Rachael Herbert | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2020-09-16 |
| 1336781541 | Micheline Mutombo-harris | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-10-09 |
| 1063060440 | Sirat Bashir | Counselor | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-08-29 |
| 1629626395 | Emily Christie | Social Worker | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-08-27 |
| 1326696964 | Thientrang Thi Nguyen | Student in an Organized Health Care Education/Training Program | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2019-08-27 |
| 1992277156 | Alma L Villasenor | Counselor | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-12-27 |
| 1902389455 | Huda Badri | Counselor | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-09-11 |
| 1336622935 | Sarah Christine Swanson | Student in an Organized Health Care Education/Training Program | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-09-10 |
| 1457834145 | Sarah Maria Lentz | Marriage & Family Therapist | 3548 Bryant Ave S, Minneapolis, MN 55408-4119 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| 1508472341 | Healing Path Center, LLC | Counselor | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-17 |
| 1386258143 | Breakthrough Therapy Center, LLC | Counselor | 2833 13th Ave S Ste 216, Minneapolis, MN 55407-1417 | 2020-08-31 |
| 1740893957 | Amzie Elizabeth Reeves | Counselor | 2010 E Hennepin Ave Ste 2-110, Minneapolis, MN 55413-2760 | 2020-08-26 |
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1063020931 | Grandpa & Grandma Adult Day Care, Inc. | Counselor | 2518 N 2nd St Ste 116, Minneapolis, MN 55411-2259 | 2020-07-16 |
| 1932724812 | Demi Rose Mancini | Counselor | 900 S 8th St Bldg 4th, Minneapolis, MN 55404-1292 | 2020-06-16 |
| 1891322277 | Susan Marie Daub | Counselor | 1330 Lagoon Ave Fl 4, Minneapolis, MN 55408-2885 | 2020-03-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on KIMBERLY MARIE MASTERS.
| 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.