MR. RICK JAMES KELLY (NPI# 1124493861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124493861 |
| Entity Type | Individual |
| Full Name | MR. RICK JAMES KELLY |
| Practice Address |
560 Cohasset Rd 175 Chico CA 95926-2281 |
| Practice Telephone | 5308912784 |
| Mailing Telephone | 5308912784 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
68420 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
89984 | CA | Behavioral Health & Social Service Providers |
| Street Address |
560 COHASSET RD 175 |
| City | CHICO |
| State | CA |
| Zip Code | 95926-2281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073696100 | Enloe Medical Center | Psychiatric Unit | 560 Cohasset Rd, Chico, CA 95926-2212 | 2006-10-23 |
| 1063057156 | Tarnpreet Singh | Counselor | 560 Cohasset Rd, Chico, CA 95926-2281 | 2019-11-12 |
| 1639734288 | Scott Charles Tibbet | Behavior Technician | 560 Cohasset Rd, Chico, CA 95926-2281 | 2019-05-08 |
| 1629570072 | Jennifer Laine Cowley | Counselor | 560 Cohasset Rd, Chico, CA 95926-2281 | 2018-03-01 |
| 1215437454 | Rebecca Ansley Harding | Counselor | 560 Cohasset Rd, Chico, CA 95926-2281 | 2018-02-14 |
| 1831699115 | Cynthia Lilly Cantwell | Counselor | 560 Cohasset Rd, Chico, CA 95926-2281 | 2018-02-13 |
| 1033627658 | James Christopher Callas | Counselor | 560 Cohasset Rd, Chico, CA 95926-2281 | 2018-01-17 |
| 1558876292 | Isaac James Schaeffer | Behavioral Analyst | 560 Cohasset Rd, Chico, CA 95926-2281 | 2017-12-04 |
| 1063926400 | Jennifer Louise Hemstalk | Licensed Vocational Nurse | 560 Cohasset Rd, Chico, CA 95926-2281 | 2017-11-21 |
| 1649782335 | Tasha Marie Weaver | Social Worker | 560 Cohasset Rd, Chico, CA 95926-2281 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602842 | Meghan G Phillips | Social Worker | 1578 Borman Way, Chico, CA 95926-2929 | 2020-02-26 |
| 1023676079 | Sadie Labriere | Social Worker | 15 Williamsburg Ln Ste 15a, Chico, CA 95926-5520 | 2019-06-04 |
| 1780120477 | Chris Cox Counseling | Social Worker | 2241 Saint George Ln, Suite 4, Chico, CA 95926-1375 | 2017-01-18 |
| 1700330222 | Charlee Rose Ganzer | Social Worker | 28 Hanover Ln, Chico, CA 95973-7267 | 2016-08-12 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1023477668 | Haley Ona Ledbetter | Social Worker | 6 Governors Ln Ste 1, Chico, CA 95926-5590 | 2016-02-10 |
| 1154673754 | Jessica May Prisk | Social Worker | 341 Broadway St Ste 412, Chico, CA 95928-5343 | 2012-10-05 |
| 1871844472 | Ur Aura Weems | Social Worker | 572 Rio Lindo Ave Ste 203, Chico, CA 95926 | 2012-09-24 |
| 1609125608 | Shannon Lynn Simmons | Social Worker | 25 Main St Ste 202, Chico, CA 95929-0799 | 2012-09-05 |
| 1487926275 | Jessica Marie Pederson | Social Worker | 15 Ilahee Ln Ste 150, Chico, CA 95973-7205 | 2012-02-08 |
| Find all providers in CHICO | ||||
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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.