KELLY JYUNKO DICKSON (NPI# 1780993238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780993238 |
| Entity Type | Individual |
| Full Name | KELLY JYUNKO DICKSON |
| Credential | MS |
| Practice Address |
8616 La Tijera Blvd Ste 200 Los Angeles CA 90045-3945 |
| Practice Telephone | 3103371550 |
| Mailing Telephone | 3103371550 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14411 Vanowen St, Van Nuys, CA 914054038 | 8189897475 | 8189010781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720520307 | Kelly Dickson | Occupational Therapist | 3459 5th Ave, Pittsburgh, PA 15213-3236 | 2016-11-14 |
| 1164761573 | Kelly Ann Dickson | Pharmacist | 105 Wheatfield Dr, Suite #2, Milford, PA 18337-7809 | 2013-02-05 |
| 1023241924 | Kelly S Dickson | Social Worker | 7 Municipal Way, Edgewood, NM 87015 | 2009-08-26 |
| Street Address |
8616 LA TIJERA BLVD STE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578605127 | Pacific Asian Counseling Services | Community/Behavioral Health | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2007-02-12 |
| 1710520119 | Carolina Vera | Case Manager/Care Coordinator | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2019-10-18 |
| 1700438496 | Lizeth Sedeno | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2019-07-12 |
| 1114589520 | Dalia Gonzalez | Community Health Worker | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2019-07-05 |
| 1598231227 | Wondy Chew | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-10-20 |
| 1629544846 | Morgan Ashley Martinez | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-10-15 |
| 1538647680 | Michelle Moreno | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-08-01 |
| 1588159396 | Khai Lyee Yeap | Marriage & Family Therapist | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-06-25 |
| 1730685744 | Jonathan J Castaneda | Case Manager/Care Coordinator | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-03-30 |
| 1659889848 | Alberto Candido Gutierrez | Marriage & Family Therapist | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061624 | Elysian Psychology Inc | Counselor | 10250 Constellation Blvd, Los Angeles, CA 90067-6200 | 2020-04-15 |
| 1912530528 | Nicole Yvette Sheppard | Counselor | 1135 S Beverly Dr Ste A, Los Angeles, CA 90035-1193 | 2020-02-21 |
| 1376190645 | Avraham Dovid Meshchaninov | Counselor | 8881 W Pico Blvd Ste 1, Los Angeles, CA 90035-3336 | 2019-08-21 |
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1730688391 | Total Care Management Services, Inc | Counselor | 10801 National Blvd Ste 253, Los Angeles, CA 90064-4178 | 2018-02-08 |
| 1255846200 | Jill Caller Kapenstein | Counselor | 6221 Wilshire Blvd Ste 518, Los Angeles, CA 90048-5223 | 2017-12-12 |
| 1982089959 | Judith Rinda Crane | Counselor | 2959 S Sepulveda Blvd, Los Angeles, CA 90064-3912 | 2015-07-20 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1851793483 | Leslie Rith-najarian | Counselor | John Wooden Center West, 221 Westwood Plaza, Counseling and Psychological Services, Los Angeles, CA 90095 | 2014-09-26 |
| 1902206394 | David Richardson IIi | Counselor | 2205 S Bentley Ave, Apt 102, Los Angeles, CA 90064-1978 | 2014-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on KELLY JYUNKO DICKSON.
| 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.