MR. JACOB WILLIAM KINKADE (NPI# 1326481474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326481474 |
Entity Type | Individual |
Full Name | MR. JACOB WILLIAM KINKADE |
Credential | LPC |
Practice Address |
3101 Broken Bough Trl Abilene TX 79606-3572 |
Practice Telephone | 3257336496 |
Mailing Telephone | 3257336496 |
Enumeration Date | 2013-04-08 |
Last Update Date | 2013-04-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
65625 | TX | Behavioral Health & Social Service Providers |
Street Address |
3101 BROKEN BOUGH TRL |
City | ABILENE |
State | TX |
Zip Code | 79606-3572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
Find all providers in zip 79606 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245886910 | Mosaic Wellness, LLC | Counselor | 5189 Texas Ave, Abilene, TX 79605-4529 | 2019-08-17 |
1316599830 | Daniel Latham | Counselor | 1743 S 8th St, Abilene, TX 79602-2448 | 2019-07-15 |
1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
1033682166 | Steven Ronald Rowlands | Counselor | 1925 Willow Dr, Abilene, TX 79602-5327 | 2019-01-11 |
1346606886 | Nelida Martin | Counselor | 4601 Buffalo Gap Rd Ste A2, Abilene, TX 79606-3361 | 2016-01-13 |
1225441512 | Melissa Strain | Counselor | 3444 N 1st St, Suite 401, Abilene, TX 79603-6912 | 2014-06-04 |
1285065052 | Trube Cassandra Miller | Counselor | 5118 Holly Way, Abilene, TX 79606-5969 | 2013-12-04 |
1801234422 | Madge Duwe | Counselor | 1002 East Highway 80, Abilene, TX 79601 | 2013-06-05 |
1083922009 | Catherine R Lenhert | Counselor | 1111 Industrial Blvd #2, Abilene, TX 79602 | 2010-09-24 |
1669787339 | Meredith Elaine Gillum | Counselor | 350 Avenida Cortez, Abilene, TX 79602-7504 | 2010-08-18 |
Find all providers in ABILENE |
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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.