KIM R. ABBANANTO (NPI# 1659442275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659442275 |
| Entity Type | Individual |
| Full Name | KIM R. ABBANANTO |
| Credential | LMFT #42108 |
| Practice Address |
124 Carmen Ln Suites J and L Santa Maria CA 93458-7768 |
| Mailing Address |
5151 Verdugo Way Ste 204 Camarillo CA 93012-8665 |
| Practice Telephone | 8059288622 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 42108 | CA | Behavioral Health & Social Service Providers |
| Street Address |
124 CARMEN LN SUITES J AND L |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-7768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548700792 | Brandon Salseda | Case Manager/Care Coordinator | 124 Carmen Ln, A, Santa Maria, CA 93458-7768 | 2017-03-06 |
| 1487196903 | Amanda Andrews | Case Manager/Care Coordinator | 124 Carmen Ln, Suite A, Santa Maria, CA 93458-7768 | 2016-11-15 |
| 1750834412 | Cinthia Olmedo | Case Manager/Care Coordinator | 124 Carmen Ln, Ste A, Santa Maria, CA 93458-7768 | 2016-07-29 |
| 1487003471 | Telecare | Case Manager/Care Coordinator | 124 Carmen Ln, Santa Maria, CA 93458-7768 | 2016-06-09 |
| 1851780142 | Sara Carroll | Case Manager/Care Coordinator | 124 Carmen Ln, A, Santa Maria, CA 93458-7768 | 2015-01-09 |
| 1306235692 | Ashley Gibbons | Case Manager/Care Coordinator | 124 Carmen Ln, A, Santa Maria, CA 93458-7768 | 2015-01-09 |
| 1588053870 | Michelle Wood | Case Manager/Care Coordinator | 124 Carmen Ln, A, Santa Maria, CA 93458-7768 | 2015-01-09 |
| 1770999567 | Anita Morin | Case Manager/Care Coordinator | 124 Carmen Ln, Ste A, Santa Maria, CA 93458-7768 | 2014-07-01 |
| 1942610142 | Megan Lynn Mcguire | Counselor | 124 Carmen Ln, A, Santa Maria, CA 93458-7768 | 2014-04-28 |
| 1194152124 | Amy Sawyer | Case Manager/Care Coordinator | 124 Carmen Ln, Ste A, Santa Maria, CA 93458-7768 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| 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 |
|---|---|---|---|---|
| 1477196152 | Jorge Luis Camacho Zepeda | Marriage & Family Therapist | 1919 Sandalwood Dr, Santa Maria, CA 93455-2863 | 2019-10-24 |
| 1619521564 | Jose Alfredo Mejia | Marriage & Family Therapist | 112 W Jones St Ste 1, Santa Maria, CA 93458-5605 | 2019-07-29 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1679992473 | Karen Ann Mcdermott | Marriage & Family Therapist | 201 S Miller Street Suite 103, Santa Maria, CA 93454 | 2014-04-09 |
| 1780011437 | Dwayne Nickerson | Marriage & Family Therapist | 301 S Miller St Ste 112, Santa Maria, CA 93454 | 2013-09-26 |
| 1679813497 | Leslie Rae Anderson | Marriage & Family Therapist | 505 S Mcclelland St Ste A, Santa Maria, CA 93454-5186 | 2013-02-15 |
| 1659645869 | Raymond Cisneros | Marriage & Family Therapist | 117 W Tunnel Street, Santa Maria, CA 93454 | 2012-03-06 |
| 1730469057 | Katie Fuller | Marriage & Family Therapist | 610 Sunrise Dr, 4b, Santa Maria, CA 93455-2178 | 2011-08-17 |
| 1528204633 | Jasmin Frankhauser | Marriage & Family Therapist | 526 E Mill St, Santa Maria, CA 93454-4536 | 2008-12-18 |
| 1831346816 | Sandra Provencio | Marriage & Family Therapist | 201 S Miller St Ste 103, Santa Maria, CA 93454-5248 | 2008-08-21 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
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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.