KIMBERLY ANN REARDON (NPI# 1154650307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154650307 |
Entity Type | Individual |
Full Name | KIMBERLY ANN REARDON |
Other Name | KIMBERLY ANN BUSSEY |
Credential | MA, LMHC |
Practice Address |
1944 Pacific Ave Ste 309 Tacoma WA 98402-3121 |
Mailing Address |
1944 Pacific Ave Suite 309 Tacoma WA 98402 |
Practice Telephone | 2538615165 |
Practice Fax Number | 2538615165 |
Mailing Telephone | 2538615165 |
Mailing Fax Number | 2538615165 |
Enumeration Date | 2009-12-17 |
Last Update Date | 2015-12-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60398032 | WA | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
RC00046380 | WA | Behavioral Health & Social Service Providers |
Street Address |
1944 PACIFIC AVE STE 309 |
City | TACOMA |
State | WA |
Zip Code | 98402-3121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124205364 | Stephanie L Dann | Marriage & Family Therapist | 1944 Pacific Ave Ste 309, Tacoma, WA 98402-3121 | 2008-01-30 |
1841779360 | Sean Patrick Whalen | Counselor | 1944 Pacific Ave Ste 309, Tacoma, WA 98402-3121 | 2018-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
Find all providers in zip 98402 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382331 | Sabrie Lynn Tramble | Counselor | 4036 S Lawrence St # A, Tacoma, WA 98409-5627 | 2020-10-06 |
1548870488 | Sorya Pao | Counselor | 7028 S Park Ave, Tacoma, WA 98408-5511 | 2020-08-05 |
1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
1982223046 | Celisha Joy Kuhlmann | Counselor | 6409 Tacoma Ave S, Tacoma, WA 98408-6230 | 2020-04-09 |
1811522394 | Bailey and Bailey Counseling and Consultation | Counselor | 2136 Martin Luther King Jr Way Ste 200, Tacoma, WA 98405-3838 | 2020-03-05 |
1992338214 | Kathleen Konzelman | Counselor | 1102 A St Ste 317, Tacoma, WA 98402-5001 | 2020-02-14 |
1780226803 | Dawn Lindsay | Counselor | 2602 N Huson St, Tacoma, WA 98407-3936 | 2019-10-09 |
1043851538 | Lashunda Pitts | Counselor | 2040 E Gregory St Unit B, Tacoma, WA 98404-4723 | 2019-10-05 |
1316596893 | Katherine A Mccaffree | Counselor | 1415 E 72nd St Ste B, Tacoma, WA 98404-5905 | 2019-09-08 |
1659933760 | West Coast Counseling, Pllc | Counselor | 2702 N Proctor St Ste D, Tacoma, WA 98407-5228 | 2019-06-28 |
Find all providers in TACOMA |
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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.