KELLY SINCLAIR HUMBARGER (NPI# 1871137216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871137216 |
| Entity Type | Individual |
| Full Name | KELLY SINCLAIR HUMBARGER |
| Other Name | KELLY SINCLAIR GERZEL |
| Credential | LMHC |
| Practice Address |
379 6th Ave W Bradenton FL 34205-8820 |
| Mailing Address |
Po Box 197515 Nashville TN 37219-7515 |
| Practice Telephone | 9417824150 |
| Practice Fax Number | 9417824301 |
| Mailing Telephone | 9417824299 |
| Mailing Fax Number | 9417824301 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH17469 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROFESSIONAL LICENSE | MH17469 | 01 |
| Street Address |
379 6TH AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-8820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982531 | Thomas J Lustberg | Psychiatry & Neurology | 379 6th Ave W, Bradenton, FL 34205-8820 | 2005-09-19 |
| 1639777485 | Femina Y Patel | Counselor | 379 6th Ave W, Bradenton, FL 34205-8820 | 2020-10-14 |
| 1790314318 | Victoria Kastor | Social Worker | 379 6th Ave W, Bradenton, FL 34205-8820 | 2020-04-06 |
| 1275161341 | Andrew R Penn | Counselor | 379 6th Ave W, Bradenton, FL 34205-8820 | 2020-04-01 |
| 1881225704 | Amanda Thomas | Counselor | 379 6th Ave W, Bradenton, FL 34205-8820 | 2020-01-29 |
| 1194294181 | Betsy Elsasser | Psychologist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2018-11-19 |
| 1710452511 | Elizabeth Murtaugh | Marriage & Family Therapist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2018-10-08 |
| 1245735737 | Reid Warren Schwabach | Counselor | 379 6th Ave W, Bradenton, FL 34205-8820 | 2018-03-27 |
| 1679088686 | Deirdre Michelle Guilloton | Marriage & Family Therapist | 379 6th Ave W, Bradenton, FL 34205-8820 | 2017-12-13 |
| 1245745132 | Marissa Saladeen Shatkin | Counselor | 379 6th Ave W, Bradenton, FL 34205-8820 | 2017-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1396374948 | Melanie B Stebbins | Counselor | 5218 4th Avenue Cir E, Bradenton, FL 34208-5621 | 2020-04-06 |
| 1407485352 | Gale Susanne Kelley | Counselor | 7282 55th Ave E, Bradenton, FL 34203-8002 | 2020-04-03 |
| 1083244040 | Mary Therese Skinner | Counselor | 4112 53rd Ave W Apt 314, Bradenton, FL 34210-3453 | 2020-01-18 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255851473 | Karma Counseling Services, LLC | Counselor | 1023 Manatee Ave W Ste 301, Bradenton, FL 34205-7828 | 2017-06-20 |
| 1619415254 | Mary Blackwell | Counselor | 5924 30th Ave W, Bradenton, FL 34209-6901 | 2017-02-02 |
| 1548710429 | Amanda Gerber | Counselor | 351 6th Ave W, Bradenton, FL 34205-8820 | 2016-10-04 |
| 1992251441 | Amy L Mckenna | Counselor | 12389 Lavender Loop, Bradenton, FL 34212-2976 | 2016-08-25 |
| 1255885497 | Lavonna Gregory | Counselor | 9030 58th Dr E Ste 103, Bradenton, FL 34202-6108 | 2016-08-04 |
| Find all providers in BRADENTON | ||||
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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.