KIMBERLY HEARN (NPI# 1306491238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306491238 |
| Entity Type | Individual |
| Full Name | KIMBERLY HEARN |
| Practice Address |
2075 Jordan Ave Juneau AK 99801-8095 |
| Mailing Address |
9362 Northland St Juneau AK 99801-9644 |
| Practice Telephone | 9077897610 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PCOP787 | AK | Behavioral Health & Social Service Providers |
| Street Address |
2075 JORDAN AVE |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871643411 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2075 Jordan Ave, Juneau, AK 99801-8049 | 2007-01-12 |
| 1770199002 | Connie Lynn Schaaf | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-09-22 |
| 1497379705 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-06-02 |
| 1699312082 | Ashley Hunt | Case Manager/Care Coordinator | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-12-04 |
| 1235775297 | Virginia Plett | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
| 1033755020 | Luther Gus Marx | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
| 1043856370 | Kaitlin Weideman | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1992341218 | Tiffany Callaway | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1518503846 | Alissa Harding | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-21 |
| 1205478658 | Harmony Wentz | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649550443 | Teri Dawn Forst | Counselor | 9578 Whitewater Ct, Juneau, AK 99801-8757 | 2011-08-24 |
| 1922259092 | Tomson Mccabe | Counselor | 319 Seward St Ste 3, Juneau, AK 99801-1173 | 2008-10-07 |
| 1255519203 | Susan Kay Wylie | Counselor | 319 Seward St, Suite 10, Juneau, AK 99801-1192 | 2008-02-01 |
| 1992832596 | G Jamieson Mclean | Counselor | 114 S Franklin St, Suite 207, Juneau, AK 99801-1322 | 2007-02-28 |
| 1174609572 | Colleen Torrence | Counselor | 5750 Glacier Hwy, Bldg D, Suite #12, Juneau, AK 99801-9508 | 2006-10-27 |
| 1568411775 | Saralyn Tabachnick | Counselor | 135 Troy Ave, Juneau, AK 99801-1452 | 2006-05-08 |
| 1619512555 | Dorothy Lynn Squires | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-11-14 |
| 1982256731 | Megan R Marsh | Counselor | 9000 Glacier Hwy Ste 202, Juneau, AK 99801-8097 | 2019-07-11 |
| 1104488246 | Tamar Mary Boyd | Counselor | 2231 Jordan Ave, Juneau, AK 99801-8050 | 2019-06-28 |
| 1013485127 | Leslye Ann Galey | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2018-11-06 |
| Find all providers in JUNEAU | ||||
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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.