COREY KIMBLE (NPI# 1023466836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023466836 |
Entity Type | Individual |
Full Name | COREY KIMBLE |
Practice Address |
402 Cleveland Ave Riverside NJ 08075-4004 |
Practice Telephone | 6097248964 |
Mailing Telephone | 6097248964 |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
402 CLEVELAND AVE |
City | RIVERSIDE |
State | NJ |
Zip Code | 08075-4004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659894947 | Mackenzie June Peed | Specialist/Technologist | 7 Aster Ct, Delran, NJ 08075 | 2017-07-19 |
1912427824 | Megan Marie Staerk | Nurse Practitioner | 102 Wayside Court, Delran, NJ 08075 | 2017-06-21 |
1043746746 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Leon Ave, Delran, NJ 08075 | 2017-05-02 |
1407394489 | Rachel Petrin | Speech-Language Pathologist | 80 Stecher Ave, Delran, NJ 08075 | 2017-02-09 |
1902267495 | Elizabeth Merlino | Pharmacist | 4000 Rout 130, Unit 17, Delran, NJ 08075 | 2016-03-11 |
1659753234 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 801 Burlington Avennue, Unit B, Delanco, NJ 08075 | 2015-06-19 |
1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
1073758876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7001 Route 130, Delran, NJ 08075 | 2008-12-08 |
1154458297 | Senior Care Centers of America, Inc. | Respite Care | 8008 Us Route 130 North, Bldg B, Suite 300, Delran, NJ 08075 | 2007-02-27 |
1528103256 | Jean Metz | Social Worker | 950 Chester Ave, Delran, NJ 08075 | 2007-02-20 |
Find all providers in zip 08075 |
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 |
---|---|---|---|---|
1720602931 | Shanee M Brown | Counselor | 2900 Adams St Ste C245, Riverside, CA 92504-7903 | 2020-06-03 |
1902425630 | Tijuana Ross | Counselor | 6235 River Crest Dr Ste O, Riverside, CA 92507-0758 | 2020-04-13 |
1780142026 | Manorah Muongpruan | Counselor | 7177 Brockton Ave Ste 452, Riverside, CA 92506-2635 | 2019-03-05 |
1750845525 | Shadaya Raquel Fowler | Counselor | 5321 Wenatchee Way, Riverside, CA 92509-7819 | 2019-01-25 |
1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
1689198426 | Elizabeth Lembo | Counselor | 4509 Main St, Riverside, CA 92501-4150 | 2017-08-02 |
1275993701 | Michelle Hunt | Counselor | 5710 Walter St, Riverside, CA 92504-1527 | 2016-02-25 |
1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
1659767788 | Jacqueline Barrios | Counselor | 4375 Agate St, Riverside, CA 92509-3264 | 2015-04-15 |
Find all providers in RIVERSIDE |
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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.