KATHLEEN MARIE MORAN (NPI# 1205306750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205306750 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE MORAN |
| Practice Address |
4020 Civic Center Dr San Rafael CA 94903-4173 |
| Mailing Address |
420 Montezuma St Apt A Rio Vista CA 94571-1642 |
| Practice Telephone | 4154912594 |
| Mailing Telephone | 5305702463 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811211675 | Kathleen Meghan Moran | Developmental Therapist | 8 N Sleight St, Naperville, IL 60540-4738 | 2010-03-23 |
| 1841332020 | Kathleen Moran | Occupational Therapist | 7 Beyers Rd, Middletown, NY 10941-5002 | 2007-02-13 |
| 1750777215 | Kathleen E Moran | Dietitian, Registered | 1501 E 3rd St, Delta, CO 81416-2815 | 2015-04-11 |
| 1376934687 | Kathleen Moran | Speech-Language Pathologist | 3509 N Broad St, Philadelphia, PA 19140 | 2015-02-09 |
| 1346583853 | Kathleen Moran | Emergency Medicine | 2213 Cherry St, Toledo, OH 43608-2603 | 2013-04-03 |
| 1710133939 | Kathleen Jane Moran | Registered Nurse | 6565 Arlington Blvd, Suite 500, Falls Church, VA 22042-3013 | 2008-08-08 |
| 1841402393 | Kathleen Fraser Moran | Social Worker | 419 Geyser Rd, Ballston Spa, NY 12020-3022 | 2007-05-05 |
| 1821187261 | Kathleen Moran | Counselor | 1731 N Comal Street, San Antonio, TX 78212 | 2006-10-12 |
| 1710095062 | Kathleen Towler Moran | Case Manager/Care Coordinator | 29 Mary St, San Rafael, CA 94901-3507 | 2006-08-28 |
| Street Address |
4020 CIVIC CENTER DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902910342 | Gail Mosconi | Social Worker | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2006-08-19 |
| 1770120107 | Amy Bower | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2019-12-04 |
| 1871016931 | Keyanna Rene Learson | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2017-07-20 |
| 1972026425 | Deborah Ruth Berenboim | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903 | 2017-07-17 |
| 1568911816 | Dana Perez | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-09-28 |
| 1629439708 | Samantha Guzowski | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-16 |
| 1689035750 | Kimberly Carroll | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-16 |
| 1588024608 | Aaron Magee | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-02 |
| 1497115034 | Jennifer Andrade | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-02-24 |
| 1124484712 | Ernest Guomas | Marriage & Family Therapist | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1548789464 | Michael Robins | Counselor | 1401 Los Gamos Dr # 204, San Rafael, CA 94903-1809 | 2017-09-12 |
| 1912431271 | Community Action Marin | Counselor | 3207 Kerner Boulebvard, San Rafael, CA 94901-3507 | 2017-04-13 |
| 1871047597 | Joseph Dela Vega | Counselor | 361 3rd St Ste B, San Rafael, CA 94901-3580 | 2016-08-10 |
| 1588117808 | Jessica Noelle Panoski | Counselor | 1403 Los Gamos, San Rafael, CA 95403 | 2016-08-03 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1194149260 | Kathryn Harrison Solana | Counselor | 3100 Kerner Blvd Ste C1, San Rafael, CA 94901-5445 | 2014-02-10 |
| 1588904403 | Jose Alfredo Escobar | Counselor | 1 St. Vincent Drive, San Rafael, CA 94903 | 2013-03-01 |
| 1508126939 | Amit Singh | Counselor | 7 Le Claire Ct, San Rafael, CA 94903-3526 | 2012-05-18 |
| 1316211311 | Denia C Briggs | Counselor | 1 Saint Vincents Drive, San Rafael, CA 94903-1504 | 2012-03-08 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.