COREY KIMBLE


Address: 402 Cleveland Ave, Riverside, NJ 08075-4004
Phone: 6097248964

COREY KIMBLE (NPI# 1023466836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 402 CLEVELAND AVE
City RIVERSIDE
State NJ
Zip Code 08075-4004

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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
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1528103256 Jean Metz Social Worker 950 Chester Ave, Delran, NJ 08075 2007-02-20
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City RIVERSIDE
Zip Code 08075

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Dataset Information

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.

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