KIMBERLY HARRIS (NPI# 1669842878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669842878 |
Entity Type | Individual |
Full Name | KIMBERLY HARRIS |
Credential | MA |
Practice Address |
7425 Los Guilicos Rd. Dept. H Santa Rosa CA 95409 |
Mailing Address |
400 Santa Alicia Dr Apt. 90 Rohnert Park CA 94928-3202 |
Practice Telephone | 9166980477 |
Mailing Telephone | 9166980477 |
Enumeration Date | 2015-09-30 |
Last Update Date | 2017-07-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers | |
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
1144706557 | Kimberly Harris | Specialist/Technologist | 3221 Havenwood Ct, Palatine, IL 60067-9054 | 2018-07-18 |
1114437852 | Kimberly Zella Harris | Social Worker | 1841 Fairmount Ave, Cincinnati, OH 45214-1224 | 2017-10-09 |
1043751449 | Kimberly Harris | Nurse Practitioner | 4805 Purdue Dr, Boynton Beach, FL 33436-7721 | 2017-03-17 |
1609262351 | Kimberly Harris | Dietitian, Registered | 191 Brassie Ln, Summerfield, NC 27358-8612 | 2015-04-09 |
1952795940 | Kimberly Harris | Contractor | 23044 Crossley Ave, Hazel Park, MI 48030-1602 | 2015-03-27 |
1356731947 | Kimberly Malcomb Harris | Speech-Language Pathologist | 1056 S. Hwy 27, Suite 9, Somerset, KY 42501 | 2015-02-03 |
1124432729 | Kimberly Michele Harris | Licensed Practical Nurse | 1711 Newton Ave, Dayton, OH 45406-4044 | 2014-06-12 |
1033558861 | Kimberly A Harris | Nurse Practitioner | 1100 Northmeadow Parkway, Suite 108, Roswell, GA 30076-3871 | 2013-06-14 |
1144573742 | Kimberly Harris | Social Worker | 263 Bellman Ave, Warwick, RI 02889-2834 | 2012-10-19 |
Street Address |
7425 LOS GUILICOS RD. DEPT. H |
City | SANTA ROSA |
State | CA |
Zip Code | 95409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
1649590522 | Brigid S. Ryan | Marriage & Family Therapist | 4525 Montgomery Dr, Ste 14, Santa Rosa, CA 95409 | 2010-06-02 |
Find all providers in zip 95409 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710506381 | Shauna Rose Hamilton | Counselor | 831 Howard St, Santa Rosa, CA 95404-3714 | 2020-04-13 |
1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
1275066193 | Alyssia Cruz | Counselor | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2017-04-07 |
1780036780 | Brittany Leigh Ratiani | Counselor | 1421 Guerneville Rd Ste 128, Santa Rosa, CA 95403 | 2016-07-01 |
1912378381 | Deborah Dooley | Counselor | 650 Larkfield Ctr # A-3, Santa Rosa, CA 95403-1400 | 2015-10-12 |
1265808976 | Wilton Hall IIi | Counselor | 3114 Terra Linda Dr, Santa Rosa, CA 95404-2121 | 2015-08-17 |
1154752244 | Tara Farrell | Counselor | 123 General Delivery, Santa Rosa, CA 95402-9999 | 2013-11-27 |
1225463128 | Laura May | Counselor | 757 Beaver St, Santa Rosa, CA 95404-3755 | 2013-09-10 |
1427482348 | Eden Rose Lebold | Counselor | 1230 Impala Ct, Santa Rosa, CA 95405-7323 | 2013-08-27 |
1073866778 | Gabriel T. Cooper | Counselor | 2255 Challenger Way, Suite 106, Santa Rosa, CA 95407-5423 | 2012-10-18 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95409 |
Please comment or provide details below to improve the information on KIMBERLY HARRIS.
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.