KINDRA HIBBARD (NPI# 1972746519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972746519 |
Entity Type | Individual |
Full Name | KINDRA HIBBARD |
Credential | LCPC, LMHC |
Practice Address |
312 Miller St Lewiston ID 83501-1944 |
Mailing Address |
2901 Knoll Crest Dr Lewiston ID 83501-6707 |
Practice Telephone | 2087501802 |
Practice Fax Number | 2087501803 |
Mailing Telephone | 2087501802 |
Mailing Fax Number | 2087501803 |
Enumeration Date | 2009-04-13 |
Last Update Date | 2018-04-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
LH60086695 | WA | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC 4160 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | STATE LICENSURE | LCPC-4160 | 01 |
WA | STATE LICENSURE | LH60086695 | 01 |
Street Address |
312 MILLER ST |
City | LEWISTON |
State | ID |
Zip Code | 83501-1944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790320935 | Daniel Scott Cornell | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2019-11-12 |
1194283317 | Mary Mcpherson | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2019-03-06 |
1679085823 | Riverplace Counseling & Wellness | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2017-10-27 |
1376080721 | Tonia Price, Lmt | Community/Behavioral Health | 312 Miller St, Lewiston, ID 83501-1944 | 2017-01-24 |
1992253165 | Mark Stevens | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2016-09-16 |
1851747448 | Cheryl M Allman | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2016-05-12 |
1215306949 | Riverplace Counseling & Wellness | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2015-09-23 |
1437490786 | Mark Steven Whitinger | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2013-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
Find all providers in zip 83501 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922658988 | Bailey G Knox | Counselor | 64 Lisbon St Ste 2, Lewiston, ME 04240-8064 | 2019-09-12 |
1538558341 | Michael A Thomas | Counselor | 14 Nancy St, Lewiston, ME 04240-4835 | 2015-01-16 |
1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
1861794075 | Sara M Karam | Counselor | 72 Strawberry Avenue, Lewiston, ME 04240 | 2010-11-19 |
1811204191 | Larry Alan Terherst | Counselor | 1702 16th Ave, Lewiston, ID 83501-4023 | 2010-09-08 |
1942533146 | Jessica C Carlson | Counselor | 75 Central Ave, Lewiston, ME 04240-6031 | 2009-09-08 |
1871600064 | Sheri A Clark | Counselor | 35 Bardwell St, Lewiston, ME 04240-6335 | 2006-08-24 |
1699762823 | Nina J Woods | Counselor | 307 Saint Johns Way, Suite 3, Lewiston, ID 83501-2435 | 2005-10-03 |
1851900336 | Allison Barbara Andrews | Counselor | 100 Campus Ave Ste A&b, Lewiston, ME 04240-6040 | 2020-07-30 |
1174152623 | Shannon Marie Jones | Counselor | 1118 F St # B, Lewiston, ID 83501-1930 | 2020-04-06 |
Find all providers in LEWISTON |
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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.