KIMBERLY A DECAPITE


Address: 642 Dameron Dr, Prescott, AZ 86301-2411
Phone: 9284455211

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC 12151 AZ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 989915 05

Office Location

Street Address 642 DAMERON DR
City PRESCOTT
State AZ
Zip Code 86301-2411

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PRESCOTT
Zip Code 86301

Improve Information

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Dataset Information

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.

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