KIMBERLY A DECAPITE (NPI# 1275697328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275697328 |
| Entity Type | Individual |
| Full Name | KIMBERLY A DECAPITE |
| Credential | LPC |
| Practice Address |
642 Dameron Dr Prescott AZ 86301-2411 |
| Practice Telephone | 9284455211 |
| Practice Fax Number | 9287768484 |
| Mailing Telephone | 9284455211 |
| Mailing Fax Number | 9287768484 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC 12151 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 989915 | 05 |
| Street Address |
642 DAMERON DR |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245227917 | Laura Ann Pieri | Psychiatry & Neurology | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2005-09-28 |
| 1851878268 | Katharina Sophia Petersen | Counselor | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2018-07-27 |
| 1417127002 | Harold L Madsen | Pharmacist | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2008-03-10 |
| 1780854372 | Sondra Gail Dagostino-powers | Pharmacist | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2008-03-10 |
| 1740450626 | Dale William James | Pharmacist | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2008-03-06 |
| 1790955672 | Victoria Marie Maneely | Pharmacy Technician | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2008-03-06 |
| 1013187905 | Carolyn Lee Snyder | Pharmacy Technician | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2008-03-06 |
| 1639349517 | Barbara Jean Gagliardo | Pharmacy Technician | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2008-03-06 |
| 1811026420 | Susan G Scherer-hicks | Counselor | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2007-03-02 |
| 1689738650 | Ruth E Visclosky | Social Worker | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670650 | Joseph Mccaffrey | Counselor | 4739 S Ponderosa Park Rd, Prescott, AZ 86303-6146 | 2020-08-19 |
| 1689212821 | Lori Ann Kidd | Counselor | 246 S Cortez St, Prescott, AZ 86303-3939 | 2019-12-18 |
| 1710450879 | Nancy Lynn Gerlach | Counselor | 155 Partridge Ln, Prescott, AZ 86303-5330 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1699269993 | David Allen Sahady | Counselor | 1000 Willow Creek Rd Ste G, Prescott, AZ 86301-1645 | 2018-06-19 |
| 1013400183 | Colleen M Tretton | Counselor | 2850 W Granite Oaks Dr, Prescott, AZ 86305-4732 | 2018-06-12 |
| 1275042715 | Cheryl Lyn Congrove | Counselor | 1453 W Libby Loop Rd, Prescott, AZ 86303-6153 | 2017-09-27 |
| 1538682364 | Matthew Miller | Counselor | 3700 Willow Creek Rd Bldg 73, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1710412382 | Marie Tueller | Counselor | 819 W Gurley St, Prescott, AZ 86305-3613 | 2017-04-20 |
| 1740733971 | Kimberly Campbell | Counselor | 141 S Mccormick St Ste 111, Prescott, AZ 86303-4730 | 2016-07-23 |
| Find all providers in PRESCOTT | ||||
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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.