MR. KEVIN KEITH (NPI# 1306025291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306025291 |
| Entity Type | Individual |
| Full Name | MR. KEVIN KEITH |
| Practice Address |
12712 Heacock St Suite 6 Moreno Valley CA 92553-3037 |
| Practice Telephone | 9512435576 |
| Practice Fax Number | 8868966067 |
| Mailing Telephone | 9512435576 |
| Mailing Fax Number | 8868966067 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154508448 | Kevin Ray Keith | Speech-Language Pathologist | 20 S Market, Cortez, CO 81323 | 2008-01-29 |
| 1851955892 | Kevin Correll Keith | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-25 |
| 1699234021 | Kevin Hastings Keith | Social Worker | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2019-03-15 |
| 1033378963 | Kevin D Keith | Emergency Medicine | Usnh Okinawa, Fpo, AP 96362-9636 | 2008-06-05 |
| Street Address |
12712 HEACOCK ST SUITE 6 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093103 | Lajean Avon Forbes | Nurse Practitioner | 12712 Heacock St, Suite 7, Moreno Valley, CA 92553-3037 | 2006-10-31 |
| 1114383080 | Advance Comprehensive Pain Care Inc | Anesthesiology | 12712 Heacock St, Suite 9a, Moreno Valley, CA 92553 | 2016-01-08 |
| 1235464777 | Whitney Wilczynski | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2009-10-15 |
| 1508095712 | Rose Ellen Swim | Marriage & Family Therapist | 12712 Heacock St, Suite 2, Moreno Valley, CA 92553-3037 | 2009-07-09 |
| 1295998409 | Gateway Counseling Cneter | Voluntary or Charitable | 12712 Heacock St, Moreno Valley, CA 92553-3037 | 2008-07-08 |
| 1891964805 | Michelle Hall Bertok | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2008-02-23 |
| 1700055712 | Kristina Marie Trauth | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2008-02-23 |
| 1023292158 | Vicki Kodad | Counselor | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2007-12-26 |
| 1679760599 | Christian Avery Peters | Marriage & Family Therapist | 12712 Heacock St, Suite 9-b, Moreno Valley, CA 92553-3037 | 2007-09-25 |
| 1578759460 | Michelle Drusilla Maisel | Marriage & Family Therapist | 12712 Heacock St, Suite 6, Moreno Valley, CA 92553-3037 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276448 | Doneisha Jenkins | Marriage & Family Therapist | 22925 Bay Ave Apt 220, Moreno Valley, CA 92553-8627 | 2020-08-20 |
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1184271298 | Social Resources Connection Inc | Marriage & Family Therapist | 23945 Sunnymead Blvd Ste 2, Moreno Valley, CA 92553-3025 | 2019-08-22 |
| 1851959373 | Martin Louis Carey | Marriage & Family Therapist | 23311 Dracaea Ave, Moreno Valley, CA 92553-3201 | 2019-05-30 |
| 1619494648 | Ashley Denise Stacy | Marriage & Family Therapist | 14221 Montego Bay Dr, Moreno Valley, CA 92553-2924 | 2017-08-30 |
| 1306363817 | Christopher Rios Berrios | Marriage & Family Therapist | 13626 Red Mahogany Dr, Moreno Valley, CA 92553-6506 | 2017-08-25 |
| 1841723525 | Danisa Lemus | Marriage & Family Therapist | 22445 Alessandro Blvd, Moreno Valley, CA 92553-8358 | 2017-04-10 |
| 1932654027 | Dori Harrell | Marriage & Family Therapist | 21250 Box Springs Rd Ste 104, Moreno Valley, CA 92557-8707 | 2016-08-18 |
| 1629425053 | Jacqueline Miranda | Marriage & Family Therapist | 21250 Box Springs Rd Ste 212, Moreno Valley, CA 92557-8712 | 2016-05-16 |
| 1235584350 | Belinda Spears-gipson | Marriage & Family Therapist | 27727 Via De La Real, Moreno Valley, CA 92555-5803 | 2016-04-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on MR. KEVIN KEITH.
| 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.