CHARRO BIJAN KENNEBRUEW (NPI# 1063053684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063053684 |
| Entity Type | Individual |
| Full Name | CHARRO BIJAN KENNEBRUEW |
| Practice Address |
3628 Stockdale Hwy Bakersfield CA 93309-2153 |
| Practice Telephone | 6613221021 |
| Mailing Telephone | 6613221021 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17695 Industrial Farm Rd, Bakersfield, CA 933089520 | 6613913190 |
| Street Address |
3628 STOCKDALE HWY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104903137 | Kanule Maua Martin | Marriage & Family Therapist | 3628 Stockdale Hwy, Bakersfield, CA 93309-1713 | 2006-11-01 |
| 1154930329 | Charity Simm Amick | Student in an Organized Health Care Education/Training Program | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2020-07-23 |
| 1124645379 | Diane Martinez | Social Worker | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2020-07-02 |
| 1982230215 | Mackenzie Odle | Case Manager/Care Coordinator | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2020-03-18 |
| 1275166977 | Mariela Vega Nunez | Case Manager/Care Coordinator | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2020-02-20 |
| 1003456781 | Juan Enriquez | Social Worker | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2020-01-10 |
| 1194365858 | Dania Menardi | Social Worker | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2020-01-10 |
| 1629613708 | Martha Cisneros | Case Manager/Care Coordinator | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2019-11-12 |
| 1598300725 | Tahlua Nicole Goosby | Social Worker | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2019-11-12 |
| 1770128993 | Vanessa Ochoa | Case Manager/Care Coordinator | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2019-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293611 | Kenneth Toran Wiley Jr. | Marriage & Family Therapist | 7615 Indian Gulch St, Bakersfield, CA 93313-4337 | 2020-10-22 |
| 1740896257 | Artisa Mae Moten | Marriage & Family Therapist | 1429 Libra Ct, Bakersfield, CA 93309-3808 | 2020-09-20 |
| 1700496247 | Thomas Carter Crocker | Marriage & Family Therapist | 6420 Easter Lily Ct, Bakersfield, CA 93313-6008 | 2020-08-07 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1720623184 | Yessica Avancena, Lmft Corp | Marriage & Family Therapist | 1701 Westwind Dr Ste 111, Bakersfield, CA 93301-3045 | 2019-11-08 |
| 1811556749 | Nancy Lee Keller | Marriage & Family Therapist | 2025 Westwind Dr Ste A, Bakersfield, CA 93301-3036 | 2019-06-13 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1689132904 | Nadia Perez | Marriage & Family Therapist | 1430 Truxtun Ave Ste 200, Bakersfield, CA 93301-5248 | 2019-03-05 |
| 1831671726 | Katherine Anne Graves | Marriage & Family Therapist | 2200 Quincy Dr, Bakersfield, CA 93306-4036 | 2018-09-06 |
| 1598243883 | Fernando Garcia IIi | Marriage & Family Therapist | 2535 16th St Ste 205, Bakersfield, CA 93301-3417 | 2018-07-30 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
Please comment or provide details below to improve the information on CHARRO BIJAN KENNEBRUEW.
| 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.