MS. KATHERINE LYNN FOSDAHL (NPI# 1184984866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184984866 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE LYNN FOSDAHL |
| Practice Address |
420 W 19th St Costa Mesa CA 92627-2026 |
| Mailing Address |
420 W 19th St Ste B Costa Mesa CA 92627-2026 |
| Practice Telephone | 9496469227 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2013-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
420 W 19TH ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932392917 | Arleen Denise Torres | Counselor | 420 W 19th St, Suite B, Costa Mesa, CA 92627-2026 | 2007-08-22 |
| 1013394303 | Michael Anthony Mendez | Peer Specialist | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2015-05-06 |
| 1114222346 | Kelly Rebecca Dobyns | Counselor | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2011-01-19 |
| 1952616575 | Brian Edward Croner | Counselor | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2010-08-09 |
| 1356660880 | Michelle Walker | Counselor | 420 W 19th St, Costa Mesa, CA 92627-2026 | 2010-05-24 |
| 1073846978 | Sandy Diana Mckenna | Counselor | 420 W 19th St, Suite B, Costa Mesa, CA 92627-2026 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457260 | Kathrin Winkler Therapy, LLC | Counselor | 2900 Bristol St Ste J206, Costa Mesa, CA 92626-7921 | 2019-09-26 |
| 1780141820 | Richard Mendoza | Counselor | 3187 Airway Ave Ste A, Costa Mesa, CA 92626-4603 | 2019-02-25 |
| 1386112647 | Alta Connect Carellc | Counselor | 2900 Bristol St # 206, Costa Mesa, CA 92626-5981 | 2018-11-05 |
| 1467927681 | Brandi Lynn Martin | Counselor | 2790 Harbor Blvd Ste 310, Costa Mesa, CA 92626-5157 | 2018-10-04 |
| 1427566561 | Kara Lynn Scartaccini | Counselor | 308 Santo Tomas Ave, Costa Mesa, CA 92627-4655 | 2018-01-10 |
| 1982114146 | Venus Bulandus | Counselor | 985 Victoria St, Costa Mesa, CA 92627-4067 | 2017-10-02 |
| 1346759396 | Bethany Marie Lesh | Counselor | 275 Baker St, Costa Mesa, CA 92626-4566 | 2017-09-21 |
| 1184175507 | Alfredo Arciniega | Counselor | 3400 Avenue of The Arts Apt G113, Costa Mesa, CA 92626-7177 | 2016-10-20 |
| 1255886438 | Jason Gerry | Counselor | 594 Wendy Ln, Costa Mesa, CA 92627-5515 | 2016-08-17 |
| 1588021141 | Karla R Martinez | Counselor | 151 Kalmus Dr Ste 145, Costa Mesa, CA 92626-5988 | 2016-01-26 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on MS. KATHERINE LYNN FOSDAHL.
| 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.