KAREN KENNEMER (NPI# 1144774860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144774860 |
Entity Type | Individual |
Full Name | KAREN KENNEMER |
Practice Address |
6502 Nursery Dr Victoria TX 77904-1178 |
Practice Telephone | 3614820427 |
Practice Fax Number | 3614820426 |
Mailing Telephone | 3614820427 |
Mailing Fax Number | 3614820426 |
Enumeration Date | 2016-08-10 |
Last Update Date | 2016-08-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 73165 | TX | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS BOARD OF LICENSED PROFESSIONAL COUNSELORS | 73165 | 01 |
Street Address |
6502 NURSERY DR |
City | VICTORIA |
State | TX |
Zip Code | 77904-1178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467434399 | Gulf Bend Mental Health Mental Retardation Center | Clinic/Center | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2005-11-16 |
1457790057 | Sherryl K Sanders | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2013-06-18 |
1932445855 | Marilyn Joyce Swannack | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2012-12-20 |
1043591464 | Tracy Dawn Chase | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2011-08-30 |
1770888596 | Daniel Rodriguez | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2011-01-26 |
1467648865 | Craig G. Chang, M.d., P.a. | Surgery | 6502 Nursery Dr, Suite 300, Victoria, TX 77904-1178 | 2007-09-19 |
1356482996 | Rogers Pharmacy #4 | Pharmacy | 6502 Nursery Dr, Suite 102, Victoria, TX 77904-1178 | 2007-02-08 |
1285668541 | Gulf Bend Mrmr Center Hcs Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2006-07-10 |
1306802814 | Craig Ge-sheng Chang | Surgery | 6502 Nursery Dr, Suite 300, Victoria, TX 77904-1178 | 2006-04-24 |
1720057904 | Gulf Bend Mhmr Center | Counselor | 6502 Nursery Dr, Suite100, Victoria, TX 77904-1178 | 2006-03-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
Find all providers in zip 77904 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801205810 | Billy T. Cattan Recovery Outreach, Inc. | Community/Behavioral Health | 1908 N Laurent St Ste 120, Victoria, TX 77901-5475 | 2014-08-05 |
1356779409 | C4c Coastal Bend Inc | Community/Behavioral Health | 302 Avenue D, Victoria, TX 77901-8529 | 2013-10-29 |
1902048424 | Family Preservation Services, Inc | Community/Behavioral Health | 3357 Nutbrush Road, Victoria, VA 23974 | 2009-03-30 |
1518118686 | Family Preservation Services, Inc | Community/Behavioral Health | 131 Kv Road, Victoria, VA 23974 | 2008-10-07 |
1407007503 | Family Preservation Services, Inc | Community/Behavioral Health | 583 Tomlinson Rd, Victoria, VA 23974-2628 | 2008-10-07 |
1649427683 | Family Preservation Services, Inc | Community/Behavioral Health | 1521 8th St, Victoria, VA 23974-9591 | 2008-08-21 |
1639255979 | Family Preservation Services, Inc | Community/Behavioral Health | 3357 Nutbush Rd, Victoria, VA 23974-3004 | 2006-10-30 |
1174076046 | David and Delores White | Community/Behavioral Health | 4702 N Laurent St, Suite D, Victoria, TX 77904-2147 | 2016-07-27 |
1174973069 | Heartland Social Work Staffing, LLC | Community/Behavioral Health | 2701 N Azalea St, Suite 3, Victoria, TX 77901-4182 | 2016-06-21 |
1417108515 | Family Preservation Services, Inc | Community/Behavioral Health | 1521 8th St, Victoria, VA 23974-9591 | 2008-10-07 |
Find all providers in VICTORIA |
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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.