KIMBERLY J POOLE-SYKES (NPI# 1194385997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194385997 |
| Entity Type | Individual |
| Full Name | KIMBERLY J POOLE-SYKES |
| Credential | LCPC |
| Practice Address |
10776 Grays Corner Rd Unit 2 Berlin MD 21811-3561 |
| Practice Telephone | 4109732525 |
| Practice Fax Number | 4109732527 |
| Mailing Telephone | 4109732525 |
| Mailing Fax Number | 4109732527 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC9500 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10776 GRAYS CORNER RD UNIT 2 |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349738 | Nicholas Thomas Kolosky | Counselor | 129 Sea Green Dr, Berlin, CT 06037-4095 | 2020-05-29 |
| 1992279491 | Rachel Boyer | Counselor | 237 Gates Pond Rd, Berlin, MA 01503-1306 | 2019-01-17 |
| 1780935239 | Seaside Counseling & Wellness Center, LLC. | Counselor | 10776 Grays Corner Rd, Suite 2, Berlin, MD 21811-3541 | 2012-09-24 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1033416102 | Sharanda Williamson | Counselor | 128 Berlin Cross Keys Rd, Berlin, NJ 08009-9201 | 2011-02-24 |
| 1487960712 | Terry D Maxfield Jr. | Counselor | 82 Eastview Lane, Ste 3, Berlin, VT 05602-0000 | 2010-08-24 |
| 1245471952 | Wanda Siena Blanco | Counselor | 16 S Main St Ste D, Berlin, MD 21811-1467 | 2009-03-11 |
| 1629125299 | Ann-margaret Moise | Counselor | 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 | 2007-01-04 |
| 1184797128 | Maria Coviello | Counselor | 3 Twelfth St, Berlin, NH 03570-3860 | 2006-11-16 |
| 1215024179 | Sharon Riley | Counselor | Hummel Bldg, Us Rt 39, Berlin, OH 44610 | 2006-10-10 |
| Find all providers in BERLIN | ||||
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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.