KIMBERLY DAWN HUCKFELDT-MUNDT (NPI# 1104182336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104182336 |
Entity Type | Individual |
Full Name | KIMBERLY DAWN HUCKFELDT-MUNDT |
Other Name | KIMBERLY DAWN HUCKFELDT-SMITH |
Credential | LPC |
Practice Address |
2802 W C St Torrington WY 82240-1834 |
Practice Telephone | 3075320134 |
Mailing Telephone | 3075320134 |
Enumeration Date | 2012-04-02 |
Last Update Date | 2020-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60179545 | WA | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
MC60164858 | WA | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-1587 | WY | Behavioral Health & Social Service Providers |
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 136831100 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
501 Albany Ave, Torrington, WY 822401503 | 3075324091 |
Street Address |
2802 W C ST |
City | TORRINGTON |
State | WY |
Zip Code | 82240-1834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124473376 | Number 34 | Case Management | 2802 W C St, Torrington, WY 82240-1834 | 2016-04-25 |
1588927149 | Nancy J Blevins | Community Health Worker | 2802 W C St, Torrington, WY 82240-1834 | 2012-06-19 |
1548523103 | Shad A Bates | Case Manager/Care Coordinator | 2802 W C St, Torrington, WY 82240-1834 | 2012-06-19 |
1083977649 | Aaron Weglin | Community Health Worker | 2802 W C St, Torrington, WY 82240-1834 | 2012-06-19 |
1568725125 | Cruz Flores | Community Health Worker | 2802 W C St, Torrington, WY 82240-1834 | 2012-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
1063962009 | Kelsey Grant | Counselor | 1419 Main Street, Torrington, WY 82240 | 2016-10-13 |
1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
1669701520 | Healing Concepts of Wyoming Inc | Chiropractor | 1925 East A Street, Torrington, WY 82240 | 2009-12-23 |
1720220072 | Bruce O Ross | Counselor | St. Joseph's Children's Home, 1419 Main St, Torrington, WY 82240 | 2009-04-01 |
1225247646 | Charles Clinton Kilgore | Chiropractor | 127 West 21st Avenue, Torrington, WY 82240 | 2007-05-22 |
Find all providers in zip 82240 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811507510 | Allison M Werning | Counselor | 100 E 27th Ave, Torrington, WY 82240-2006 | 2020-08-06 |
1891262143 | Rannan Lee Marconi | Counselor | 32 W Chapel St, Torrington, CT 06790-2918 | 2018-10-25 |
1750888061 | Marilyn Jean Cotant | Counselor | 918 E 27th Ave, Torrington, WY 82240-2203 | 2018-04-12 |
1861900185 | Myriah Ann Sipperly | Counselor | 49 Briarwood Trl, Torrington, CT 06790-3474 | 2018-01-22 |
1598139271 | Marie A Danis | Counselor | 149 Greenridge Rd, Torrington, CT 06790-3553 | 2015-11-18 |
1952673865 | Charlaine St. Charles | Counselor | 387 Litchfield St, Torrington, CT 06790-6602 | 2012-02-08 |
1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
1003193699 | Christopher H. Hale | Counselor | 11 Fairlawn Dr, Torrington, CT 06790-5805 | 2011-11-09 |
1124258900 | Luisa Cheij | Counselor | 7 Bridle Cir, Torrington, CT 06790-2378 | 2009-07-15 |
1972646289 | Maria Cresham | Counselor | 1 Torrington Office Plz Ste 211, Torrington, CT 06790-3855 | 2007-02-15 |
Find all providers in TORRINGTON |
City | TORRINGTON |
Zip Code | 82240 |
Please comment or provide details below to improve the information on KIMBERLY DAWN HUCKFELDT-MUNDT.
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.