KIM ELIZIER SORRELL (NPI# 1225680341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225680341 |
| Entity Type | Individual |
| Full Name | KIM ELIZIER SORRELL |
| Credential | LMFT |
| Practice Address |
2305 Historic Decatur Rd Ste 100 San Diego CA 92106-6071 |
| Mailing Address |
3015 Poinsettia Dr San Diego CA 92106-1014 |
| Practice Telephone | 6193721788 |
| Mailing Telephone | 6192526461 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMFT85392 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2305 HISTORIC DECATUR RD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1982240651 | Dustine Doan | Case Manager/Care Coordinator | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-11-18 |
| 1538703962 | Noah Johnston | Peer Specialist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-29 |
| 1306489737 | Perlita Cecilia Ortiz | Case Manager/Care Coordinator | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-17 |
| 1376184465 | Eric Van Der Voort Psychology PC | Community/Behavioral Health | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-01 |
| 1609422286 | Ashlee Lauren Bolt Nursing Inc | Clinic/Center | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-08-10 |
| 1104390442 | Heart of The Matter Family Counseling Inc | Marriage & Family Therapist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-01-21 |
| 1366926495 | Eric William Van Der Voort | Psychologist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2018-09-25 |
| 1427415967 | Integrative Mind & Body Psychotherapy, Inc. | Psychologist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2016-01-27 |
| 1447672191 | Kristen Marie O'dwyer | Social Worker | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2014-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
| 1407051485 | James Robert Becroft | Chiropractor | 5055 N. Harbor Dr, 110, San Diego, CA 92106 | 2007-06-19 |
| Find all providers in zip 92106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.