KIM ERIN KELLY (NPI# 1740380633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740380633 |
| Entity Type | Individual |
| Full Name | KIM ERIN KELLY |
| Credential | MA, LMFT, LPAT |
| Practice Address |
333 S Juniper St #115 Escondido CA 92025-4924 |
| Mailing Address |
333 S Juniper St # 115 Escondido CA 92025-4924 |
| Practice Telephone | 7604205439 |
| Mailing Telephone | 7604205439 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
4067 | NM | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MFC48966 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992198584 | Kim Marie Kelly | Behavioral Analyst | 20 Tater St, Mont Vernon, NH 03057-1315 | 2015-03-06 |
| 1851630412 | Kim A Kelly | Counselor | 2528 Oak St, Jacksonville, FL 32204-4504 | 2013-02-01 |
| 1689950800 | Kim C Kelly | Speech-Language Pathologist | 678 Cantiague Rock Rd, Jericho, NY 11753-1401 | 2011-11-02 |
| 1538302799 | Kim Darrell Kelly | Naturopath | 1363 Burgundy Rd, Encinitas, CA 92024-1847 | 2009-04-16 |
| 1578585501 | Kim Michelle Kelly | Family Medicine | 12710 Se Division Street, Portland, OR 97236 | 2006-07-25 |
| 1790119857 | Kim Marie Kelly | Pharmacist | 1401 Bombing Range Rd, West Richland, WA 99353-8001 | 2013-08-26 |
| 1730457193 | Kim J Kelly | Counselor | 200 S Pollock St, Selma, NC 27576-3062 | 2011-12-13 |
| 1457453326 | Kim H Kelly | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-02 |
| Street Address |
333 S JUNIPER ST #115 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073993846 | W.wooton,inc | Counselor | 333 S Juniper St, Suite 114, Escondido, CA 92025-4924 | 2015-06-05 |
| 1417200072 | Panchapon Ivy Stubblefield | Acupuncturist | 333 S Juniper St, Suite 111, Escondido, CA 92025-4924 | 2012-10-19 |
| 1902126345 | Juanita Ayson | Acupuncturist | 333 S Juniper St, Suite 100, Escondido, CA 92025-4924 | 2010-06-08 |
| 1538315866 | Elise Wright Aballi | Marriage & Family Therapist | 333 S Juniper St, Suite 116, Escondido, CA 92025-4924 | 2008-08-18 |
| 1083737928 | Gaila Mackenzie-strawn | Chiropractor | 333 S Juniper St, Suite 111, Escondido, CA 92025-4924 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| 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 |
|---|---|---|---|---|
| 1497305411 | Ok 2b Angry | Marriage & Family Therapist | 139 E 3rd Ave Ste 104, Escondido, CA 92025-4246 | 2019-09-12 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1053822577 | Eric David | Marriage & Family Therapist | 219 Eveningside Gln, Escondido, CA 92026-1314 | 2017-10-24 |
| 1144745696 | Gail Diane Gerbie | Marriage & Family Therapist | 27715 Mountain Meadow Rd Unit 37a, Escondido, CA 92026-7309 | 2017-08-06 |
| 1841739604 | Nelly Gregorian-deleon | Marriage & Family Therapist | 2915 Sunset Hls, Escondido, CA 92025-7854 | 2017-02-13 |
| 1700244704 | Mark J Logid | Marriage & Family Therapist | 643 W 13th Ave, Escondido, CA 92025-5620 | 2016-02-04 |
| 1437526464 | Melissa Louise Lund | Marriage & Family Therapist | 639 E 17th Ave, Escondido, CA 92025-6324 | 2015-08-25 |
| 1043612518 | Melissa Mccormick | Marriage & Family Therapist | 2408 Nabal St, Escondido, CA 92025-7729 | 2014-09-16 |
| 1891194460 | Jessica Rocio Rivera | Marriage & Family Therapist | 2346 Harmony Grove Rd, Escondido, CA 92029-2055 | 2014-08-19 |
| Find all providers in ESCONDIDO | ||||
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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.