KATHY BLACK (NPI# 1871714352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871714352 |
| Entity Type | Individual |
| Full Name | KATHY BLACK |
| Credential | CADC I |
| Practice Address |
440 Henderson St Ste C Grass Valley CA 95945-7374 |
| Mailing Address |
15019 Roving Way Grass Valley CA 95949-9708 |
| Practice Telephone | 5302739541 |
| Practice Fax Number | 5302737740 |
| Mailing Telephone | 5302739541 |
| Mailing Fax Number | 5302737740 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C4001407 | CA | Behavioral Health & Social Service Providers |
| Street Address |
440 HENDERSON ST STE C |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-7374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679831754 | Janet Baker | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2012-04-26 |
| 1164780417 | Helen M Davis | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2012-04-24 |
| 1528325164 | Anita Louise Kiesewetter | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2012-04-20 |
| 1528325727 | Abby Marie Olin | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2012-04-12 |
| 1538310032 | Christina Frye | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2008-10-02 |
| 1114100450 | Bonnie Lawrence | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2007-12-10 |
| 1497935852 | Julie Riggs | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2007-11-13 |
| 1336361047 | Bonnie Hampton | Marriage & Family Therapist | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2007-05-03 |
| 1073734547 | Warren A Daniels | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2007-05-01 |
| 1801017280 | Alison Olsen | Counselor | 440 Henderson St Ste C, Grass Valley, CA 95945-7374 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851870554 | Robert Wilson Coleman | Counselor | 256 Buena Vista St Ste 100, Grass Valley, CA 95945-7239 | 2018-08-13 |
| 1891945937 | Julia Conrad | Counselor | 16713 Lawrence Way, Grass Valley, CA 95949-7107 | 2008-09-25 |
| 1114149820 | Lori Haugen | Counselor | 303 Bennett St, Grass Valley, CA 95945-6804 | 2007-05-03 |
| 1316168883 | Christine Findley | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2007-05-01 |
| 1194946582 | John Thomas Madsen | Counselor | 440 Henderson St, Siute C, Grass Valley, CA 95945-7374 | 2007-05-01 |
| 1487662979 | James Michael Sellars | Counselor | 180 Sierra College Dr., Grass Valley, CA 95945 | 2006-08-03 |
| 1063012748 | Sofia M Degruccio | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-30 |
| 1619576238 | Hayley R Corbin | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-23 |
| 1205435351 | Melinda O Hargraves | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-20 |
| 1699373571 | Amanda R Peebles | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-13 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on KATHY BLACK.
| 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.