KELLY MUKLEVICZ (NPI# 1992194096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992194096 |
| Entity Type | Individual |
| Full Name | KELLY MUKLEVICZ |
| Practice Address |
800 S Victoria Ave Ventura CA 93009-8520 |
| Practice Telephone | 8054430562 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
800 S VICTORIA AVE |
| City | VENTURA |
| State | CA |
| Zip Code | 93009-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700082302 | Lorita Faye Meeks | Counselor | 800 S Victoria Ave, Room 301, Ventura, CA 93009-0001 | 2007-06-21 |
| 1902422439 | Crista Marie Arnold | Nurse Practitioner | 800 S Victoria Ave, Ventura, CA 93009-0001 | 2020-06-20 |
| 1891341517 | Ktlenne Lehi Lazo | Nurse Practitioner | 800 S Victoria Ave, Ventura, CA 93009-0001 | 2019-08-18 |
| 1205311339 | Larry Edward Ellis | Counselor | 800 S Victoria Ave, Ventura, CA 93009-0001 | 2018-09-25 |
| 1740578327 | Andrea L Anderson | Counselor | 800 S Victoria Ave, Ventura, CA 93009-1651 | 2011-07-15 |
| 1306039292 | Heather Te | Marriage & Family Therapist | 800 S Victoria Ave, Ventura, CA 93009 | 2007-08-23 |
| 1811193741 | Sara Estrada | Counselor | 800 S Victoria Ave, Ventura, CA 93009-0001 | 2007-06-26 |
| 1295931756 | Rachel P Calof | Counselor | 800 S Victoria Ave, Ventura, CA 93009-0001 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730340977 | Michele Ayans | Physician Assistant | 1190 S Victoria Ave, Suite 300, Ventura, CA 93009 | 2008-06-20 |
| 1316371677 | Erin Michelle Opdahl | Marriage & Family Therapist | 800 S Victoria Ave # 4615, Ventura, CA 93009-0001 | 2013-08-22 |
| 1427523885 | Valerie Supan | Social Worker | 800 S Victoria Ave # 4615, Ventura, CA 93009-0001 | 2018-10-11 |
| 1902843410 | Sandra K Ybarra | Physician Assistant | Ehs 800 S Victoria, Sbch-ed Puebo @bath, Santa Barbara, Ca Ed, Ventura, CA 93009-1150 | 2006-06-01 |
| 1265552236 | Pamela Judy Bogen | Social Worker | 800 S Victoria Ave # L4615, Ventura, CA 93009-2103 | 2007-03-31 |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529308 | Megan Emery | Counselor | 1068 E Main St Ste 210, Ventura, CA 93001-5049 | 2020-02-12 |
| 1538791934 | Bernita S Brazier | Counselor | 1500 Palma Dr Ste 230, Ventura, CA 93003-6451 | 2020-02-04 |
| 1104475326 | Hannah Marie Kellner | Counselor | 248 E Lewis St, Ventura, CA 93001-1555 | 2019-09-10 |
| 1336796887 | Jenny Campbell | Counselor | 4355 Whittier Ct, Ventura, CA 93003-3846 | 2019-08-20 |
| 1104472919 | Alexis Lillian Estrada | Counselor | 3426 Preble Ave, Ventura, CA 93003-5039 | 2019-08-16 |
| 1598311086 | Jennifer Stocker | Counselor | 5740 Ralston St Ste 210, Ventura, CA 93003-5864 | 2019-08-12 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1477115970 | Mark Steven Perry | Counselor | 4949 Terry Dr, Ventura, CA 93003-2030 | 2019-07-03 |
| 1114586377 | Diana R Albarran | Counselor | 10569 Verbena St, Ventura, CA 93004-1889 | 2019-06-11 |
| 1265905848 | Joni Medina | Counselor | 9600 Telephone Rd Apt 93, Ventura, CA 93004-2749 | 2019-01-07 |
| Find all providers in VENTURA | ||||
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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.