KATLIN COLLEEN SULLIVAN (NPI# 1922631803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922631803 |
Entity Type | Individual |
Full Name | KATLIN COLLEEN SULLIVAN |
Credential | RADTT |
Practice Address |
3707 Sunset Ln Antioch CA 94509-6101 |
Practice Telephone | 9255220124 |
Mailing Telephone | 9255220124 |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
3707 SUNSET LN |
City | ANTIOCH |
State | CA |
Zip Code | 94509-6101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326052572 | William Lumba Quismorio | General Practice | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2006-07-27 |
1598390973 | Brittney Leigh Smith | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-03-06 |
1902378268 | Juana Robinson | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-12-27 |
1588130116 | Cain Sands | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-10-22 |
1932602471 | Darrell Joe Goodbeer | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-03-12 |
1235648510 | Randy Reyes I | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2017-09-29 |
1427597236 | Angelina Baldocchi I | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2017-02-14 |
1801344882 | Rebecca Graham | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-09-19 |
1659829802 | Danielle Hebner | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-09-16 |
1013462654 | Vuthy Jenkins | Nurse Practitioner | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
Find all providers in zip 94509 |
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 |
---|---|---|---|---|
1669096152 | Alexandra Marquese Mayes | Counselor | 508 S Stonegate Dr, Antioch, TN 37013-1652 | 2020-06-01 |
1265053797 | Anastasia Rojek | Counselor | 4408 Reimche Dr, Antioch, CA 94509-4351 | 2020-05-06 |
1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
1427526912 | Shannon R Doren | Counselor | 1960 Deodar Ave, Antioch, CA 94509-2614 | 2018-11-02 |
1114415049 | Larelle Muldrow | Counselor | 4588 Imperial Way, Antioch, CA 94531-9386 | 2018-04-26 |
1770093981 | Bianca Rose Hodges | Counselor | 209 Brentridge Dr, Antioch, TN 37013-3776 | 2017-10-03 |
1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
1871943118 | Nicholas Yeager | Counselor | 974 Main St, Antioch, IL 60002-1537 | 2016-06-17 |
1699166504 | Saved Community Services Inc | Counselor | 5825 Crossings Blvd Apt 310, Antioch, TN 37013-3194 | 2015-02-13 |
1437487873 | Rachell T Thomas-alexander | Counselor | 4852 Knollcrest Dr, Antioch, CA 94531-7614 | 2009-11-23 |
Find all providers in ANTIOCH |
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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.