REBECCA KUBIAK (NPI# 1225695307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225695307 |
| Entity Type | Individual |
| Full Name | REBECCA KUBIAK |
| Practice Address |
1455 Dixon Ave Lafayette CO 80026 |
| Mailing Address |
3345 Chisholm Trl Apt 302 Boulder CO 80301-5215 |
| Practice Telephone | 3036044244 |
| Mailing Telephone | 6094120455 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3180 Airport Rd, Boulder, CO 803012208 | 3034438500 |
| Street Address |
1455 DIXON AVE |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093767543 | Mental Health Center of Boulder County, Inc. | Clinic/Center | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2006-05-16 |
| 1487255980 | Savannah J Pierce | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-11-03 |
| 1679172324 | Asia Jaworowska | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-10-23 |
| 1881293124 | Evelyn C Bean | Nurse's Aide | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-10-19 |
| 1861009904 | Rachel Pearl Vanetten | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-23 |
| 1043826258 | Erica Frances Martinez | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-22 |
| 1851907042 | Ariana Gwen Cohn | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-22 |
| 1437765138 | Tova Selene Lipkin Sularz | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-17 |
| 1992311765 | Anna Lynne Gilmour | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-17 |
| 1063028942 | Donna Jane Kruger | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316509730 | Ronald James Viguerie | Counselor | 111 Rue Jean Lafitte Ste 107, Lafayette, LA 70508-3141 | 2019-07-05 |
| 1437713906 | Christina L Piker | Counselor | 1455 Dixon Ave Ste 140, Lafayette, CO 80026-8880 | 2019-04-30 |
| 1790257269 | William R Richard | Counselor | 2020 W Pinhook Rd Ste 504, Lafayette, LA 70508-3212 | 2018-12-21 |
| 1992292635 | Patty Hines | Counselor | 501 W Saint Mary Blvd Ste 414, Lafayette, LA 70506-4600 | 2018-04-18 |
| 1235649559 | The Right Move LLC | Counselor | 3110 W Pinhook Rd Ste 102, Lafayette, LA 70508-3453 | 2017-10-02 |
| 1508302324 | D'aunoy & D'aunoy Counseling & Life Coaching Services | Counselor | 101 Teurlings Dr, Lafayette, LA 70501-3832 | 2017-01-18 |
| 1861946444 | Embracing Choices for Better Living, LLC | Counselor | 1615 Long Bow Ct, Lafayette, CO 80026-1916 | 2016-08-11 |
| 1124478433 | Mark Tucker | Counselor | 2020 W Pinhook Rd Ste 402, Lafayette, LA 70508-3212 | 2016-06-16 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1104255538 | Timothy Allport | Counselor | 100 East South Boulder Road, Suite 105, Lafayette, CO 80026 | 2013-11-06 |
| Find all providers in LAFAYETTE | ||||
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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.