KATHALEEN REAGAN (NPI# 1306367032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306367032 |
| Entity Type | Individual |
| Full Name | KATHALEEN REAGAN |
| Credential | PCCI |
| Practice Address |
309 E Mountain View St Ste 100 Barstow CA 92311-2814 |
| Practice Telephone | (760) 256-7279 |
| Mailing Telephone | 7602567279 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4032 | CA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
4032 | CA | Behavioral Health & Social Service Providers |
| Street Address |
309 E MOUNTAIN VIEW ST STE 100 |
| City | BARSTOW |
| State | CA |
| Zip Code | 92311-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255461414 | Vista Guidance Centers, Inc. | Counselor | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2007-03-06 |
| 1396343711 | Marcus Marquez | Student in an Organized Health Care Education/Training Program | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2020-10-16 |
| 1194359653 | Tamika Massey | Marriage & Family Therapist | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2020-02-24 |
| 1700432598 | Marialisa Shirley Hernandez | Community Health Worker | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2019-08-16 |
| 1639725427 | Mark Christian Counts | Case Manager/Care Coordinator | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2019-08-16 |
| 1588216774 | Jorge Giovanni Luna | Case Manager/Care Coordinator | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2019-07-09 |
| 1235699570 | Shauna Joyce Miranda | Student in an Organized Health Care Education/Training Program | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2019-03-22 |
| 1366929358 | Zenaida Leeanne Beard | Case Manager/Care Coordinator | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2018-07-23 |
| 1760975270 | Diane Nicole Callas | Case Manager/Care Coordinator | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2018-06-08 |
| 1649768763 | Brandi Mckinney | Case Manager/Care Coordinator | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2018-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552437 | Sheri Lorena Brady | Counselor | 309 E. Mt. View Suite 100, Barstow, CA 92311 | 2018-06-15 |
| 1205352556 | Julie Ann Pellman | Dietitian, Registered | 100 Veterans Parkway, Barstow, CA 92311 | 2017-08-18 |
| 1821511106 | Ambria Nicole Flippo | Counselor | 309 E Mountain View, Suite 100, Barstow, CA 92311 | 2017-07-19 |
| 1124485289 | Wellness Acupuncture Clinic | Case Management | 1866 E Main St, Barstow, CA 92311 | 2016-01-20 |
| 1346606407 | Kirsten Cheong | Counselor | 306 E. Mountain View St., Suite 100, Barstow, CA 92311 | 2016-01-05 |
| 1205222536 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 234/236, 300, 304 and 308e Fredricks Street, Barstow, CA 92311 | 2015-04-14 |
| 1043629512 | Jon Pellerin | Pharmacist | 621 Montara, Barstow, CA 92311 | 2014-08-08 |
| 1255777421 | Ramendeep K Singh | Family Medicine | 1890 W. Main St., Suite 110, Barstow, CA 92311 | 2013-05-15 |
| 1760731061 | Jenifer Kristine Cordova | Physical Therapist | 1815 E. Main St., Barstow, CA 92311 | 2012-08-31 |
| 1053697250 | Lisa Herrmann | Counselor | 222 E Main St. Suite 117, Barstow, CA 92311 | 2011-11-01 |
| Find all providers in zip 92311 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552437 | Sheri Lorena Brady | Counselor | 309 E. Mt. View Suite 100, Barstow, CA 92311 | 2018-06-15 |
| 1720331135 | Chandra Gale White | Counselor | 550 Yucca Ave Apt 81, Barstow, CA 92311-3254 | 2012-10-23 |
| 1336408079 | Martha Obrien | Counselor | 204 N 3rd Ave Ste C, Barstow, CA 92311-2369 | 2012-05-15 |
| 1760644272 | Steven Montoya | Counselor | 805 E Mountain View, Barstow, CA 92311 | 2008-06-26 |
| 1578604815 | James Harris Maher | Counselor | 440 S. Second Street, Ste 105, Barstow, CA 92311-2854 | 2007-02-09 |
| 1821137670 | Mark Alan Campbell | Counselor | 1300 E Mountain View St, Barstow, CA 92311-3202 | 2007-02-06 |
| 1104425305 | Jennie Teresa Maceachern | Counselor | 222 E Main St Ste 117, Barstow, CA 92311-2365 | 2020-10-20 |
| 1093365512 | Jazzmine Harris-clark | Counselor | 1841 E Main St, Barstow, CA 92311-3234 | 2019-09-17 |
| 1760943807 | Elizabeth Janine Reckner | Counselor | 222 E Main St Ste 117, Barstow, CA 92311-2365 | 2019-03-30 |
| 1487173001 | Latisha Dianne Ballard | Counselor | 222 E Main St Ste 117, Barstow, CA 92311-2365 | 2017-09-14 |
| Find all providers in BARSTOW | ||||
Please comment or provide details below to improve the information on KATHALEEN REAGAN.
| 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.